UN JEONG KIM
NPI 1053972414
Nurse Practitioner - Family in Flushing, NY

Q: What is Un Jeong Kim's NPI number?

The NPI number for Un Jeong Kim is 1053972414. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Q: What is Un Jeong 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 Un Jeong Kim was last updated on June 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 26, 2019PECOS Enrolled

4500 PARSONS BLVD, FLUSHING, NY 11355(718) 670-5974 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Un Jeong Kim NPPES

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

UN JEONG KIM (NPI 1053972414) is an individual family provider in Flushing, New York, licensed in New York (342812) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053972414

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameUN JEONG KIM

Location Address4500 PARSONS BLVDFlushing, NY 11355-2205

Mailing Address7921 214th StOakland Gardens, NY 11364-3509

Phone(718) 670-5974

Sole ProprietorNo

Enumeration DateJune 26, 2019

✔ NPI 1053972414 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 · 342812

4500 PARSONS BLVD, Flushing, NY 11355

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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)

Un Jeong 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 11355 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.