MS. JIYOON KIM PA-C NPI 1912046665

NPI Information

  • NPI: 1912046665
  • Provider Name: MS. JIYOON KIM, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 425 E 61ST ST FL 10
    WEILL CORNELL BREAST CENTER
    NEW YORK, NY
    ZIP 10065
  • Phone: (646) 772-8109

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NPI Details

MS. Jiyoon Kim, PA-C is a surgical physician assistant in New York, NY. MS. Jiyoon Kim, PA-C NPI is 1912046665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

425 E 61ST ST FL 10
WEILL CORNELL BREAST CENTER
NEW YORK, NY
ZIP 10065-722
Phone: (646) 772-8109

The NPI 1912046665 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 2/6/2007 and was last updated on 7/14/2016.

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
1363AS0400XPhysician AssistantSurgical010657-1NEW 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: 3/30/2025

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