Jina Jacey Kim (NPI# 1023468832, PAC ID# 3870871247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023468832 |
| PAC ID by PECOS | 3870871247 |
| Professional Enrollment ID | I20161107000433 |
| Full Name | Jina Jacey Kim |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Address |
100 E 77th St Fl 3 New York NY 10075-1850 |
| Phone Number | 2124346980 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375701568 |
| Number of Group Practice Members | 3620 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 E 77th St, Fl 3, New York, NY 10075-1850 | 2124346980 | NORTH SHORE-LIJ MEDICAL PC |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Physicians | 3634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Elizabeth Coletto | Nurse Practitioner | North Shore-lij Medical PC | 1350 Northern Blvd, Suite 202, Manhasset, NY 11030-3013 |
| Grace E Berlin | Rheumatology | North Shore-lij Medical PC | 1551 Richmond Rd, Suite 1a, Staten Island, NY 10304-2338 |
| Wai C Man | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Calley Hannah Salomon Levine | Gastroenterology | North Shore-lij Medical PC | 600 Northern Boulevard, Suite 111, Great Neck, NY 11021-5200 |
| Glenn Joseph Forrester | General Surgery | North Shore-lij Medical PC | 777 N Broadway, Sleepy Hollow, NY 10591-1000 |
| Nehal Shukla | Family Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Pooja R Shah | Dermatology | North Shore-lij Medical PC | 1991 Marcus Ave, Suite 302, New Hyde Park, NY 11042-2058 |
| Ayesha T Ali | Infectious Disease | North Shore-lij Medical PC | 500 W Main St, Babylon, NY 11702-3027 |
| Henny Liwan | Obstetrics/gynecology | North Shore-lij Medical PC | 404 Potter Blvd, Brightwaters, NY 11718-1830 |
| Perumal Thiyagarajan | Hospitalist | North Shore-lij Medical PC | 221 Jericho Turnpike, Syosset, NY 11791-4515 |
| Street Address |
100 E 77TH ST FL 3 |
| City | NEW YORK |
| State | NY |
| Zip | 10075-1850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randi L Clarke | Nurse Practitioner | North Shore-lij Medical PC | 100 E 77th St, 2 Lachman, New York, NY 10075-1850 |
| Steven D Schaefer | Otolaryngology | Lenox Hill Hospital Medical PC | 100 E 77th St, New York, NY 10075-1850 |
| Marta L Feldmesser | Infectious Disease | North Shore-lij Medical PC | 100 E 77th St, New York, NY 10075-1850 |
| Wynne Breed | Emergency Medicine | North Shore-lij Medical PC | 100 E 77th St, New York, NY 10075-1850 |
| Jospeh C Finley Jr. | Otolaryngology | Lenox Hill Hospital Medical PC | 100 E 77th St, New York, NY 10075-1850 |
| Artur Shlifer | Physician Assistant | North Shore-lij Medical PC | 100 E 77th St, New York, NY 10075-1850 |
| Bernard Joshua Lane | Anesthesiology | North Shore-lij Anesthesiology PC | 100 E 77th St, New York, NY 10075-1850 |
| Arezoo Sahiholamal | Physician Assistant | North Shore-lij Medical PC | 100 E 77th St, New York, NY 10075-1850 |
| Joseph M Hudgens | Emergency Medicine | North Shore-lij Medical PC | 100 E 77th St, New York, NY 10075-1850 |
| Michael A Zacchilli | Sports Medicine | North Shore-lij Medical PC | 100 E 77th St, New York, NY 10075-1850 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Marie Conroy | Cardiovascular Disease (cardiology) | North Shore-lij Medical PC | 130 Est 77th St, 9th Floor Black Hall, New York, NY 10075 |
| Erin R Mackinnon | Nurse Practitioner | North Shore-lij Medical PC | 130 Est 77th St, 9th Floor Black Hall, New York, NY 10075 |
| Yiming Yang | Interventional Cardiology | North Shore-lij Medical PC | 130 Est 77th St, 9th Floor Black Hall, New York, NY 10075 |
| Daryl B Gioffre | Chiropractic | 16 E 79th St, Ground Floor G4, New York, NY 10075-0106 | |
| Beth F Appel | Podiatry | 19 E 80th St, New York, NY 10075-0117 | |
| Stuart Orsher | Internal Medicine | 9 E 79th St, New York, NY 10075-0123 | |
| Leon K Demar | Dermatology | 985 5th Ave, New York, NY 10075-0142 | |
| Monica Halem | Dermatology | 988 5th Ave, New York, NY 10075-0143 | |
| Paul E Schneck | Psychiatry | 16 E 79th St, Office 35 Third Floor, New York City, NY 10075-0150 | |
| Diane G Tanenbaum | Dermatology | 16 E 79th St, Suite 22, New York, NY 10075-0150 | |
| Find all physicians in zip 10075 | |||
| City | NEW YORK |
| Zip Code | 10075 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW YORK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jina Jacey Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.