MR. JONG HOON KIM FNP NPI 1154106813

NPI Information

  • NPI: 1154106813
  • Provider Name: MR. JONG HOON KIM, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1A LOCUST PL
    HUNTINGTON STATION, NY
    ZIP 11746
  • Phone: (347) 971-9019

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NPI Details

MR. Jong Hoon Kim, FNP is a family nurse practitioner in Huntington Station, NY. MR. Jong Hoon Kim, FNP NPI is 1154106813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1A LOCUST PL
HUNTINGTON STATION, NY
ZIP 11746-233
Phone: (347) 971-9019

The NPI 1154106813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2023 and was last updated on 8/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF351965NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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