JIWON KIM
NPI 1033765748
Nurse Practitioner - Family in New York, NY

Q: What is Jiwon Kim's NPI number?

The NPI number for Jiwon Kim is 1033765748. It was assigned to this individual provider in the NPPES registry on August 18, 2019.

Q: What is Jiwon Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jiwon Kim was last updated on August 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2019PECOS Enrolled

1901 1ST AVE, NEW YORK, NY 10029(212) 423-6262 Get Directions Write a Review

NPPES record last updated: August 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jiwon Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIWON KIM (NPI 1033765748) is an individual family provider in New York, New York, licensed in New York (F340545) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033765748

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJIWON KIM

Location Address1901 1ST AVENew York, NY 10029-7494

Mailing Address1106 Glenmore Ave Fl 1Brooklyn, NY 11208-3228 · (909) 647-7388

Phone(212) 423-6262

Sole ProprietorNo

Enumeration DateAugust 18, 2019

✔ NPI 1033765748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F340545

1901 1ST AVE, New York, NY 10029

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jiwon Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH BOMPAROLA PA

Physician Assistant