JIN SOOK KIM NPI 1720332000

NPI Information

  • NPI: 1720332000
  • Provider Name: JIN SOOK KIM
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 PENN PLZ FRNT 7
    SUITE 725
    NEW YORK, NY
    ZIP 10119
  • Phone: (917) 993-2279

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NPI Details

Jin Sook Kim is an adult health nurse practitioner in New York, NY with 14 years of experience. Jin Sook Kim NPI is 1720332000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1 PENN PLZ FRNT 7
SUITE 725
NEW YORK, NY
ZIP 10119-206
Phone: (917) 993-2279

The NPI 1720332000 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 11/7/2012 and was last updated on 7/28/2015.

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
1364SG0600XClinical Nurse SpecialistGerontologyF340851NEW YORKNo
2363LA2200XNurse PractitionerAdult HealthF306114NEW 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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