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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Un Jeong Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Flushing Hospital & Medical Center
Same address
General Acute Care Hospital
4500 PARSONS BLVD
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 327 clinicians in this Medicare group
NPI 1548217763 (718) 670-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

FAZLA RABBY MD
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000
DANIELA VULTORIUS
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000
SUSY J DIAZ MD
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5939
DEEMAH STALHAMER D.O.
Anesthesiology
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5631
DR. TANVIRA M ISLAM MD
Psychiatry & Neurology (Psychiatry)
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 406-8268
UZOEGO CHIBUZO X MD
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5535
DR. TALWINDER SINGH DO
Hospitalist
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000
MS. SRINARMADHA CHANDRAN MBBS
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Un Jeong Kim located?

Un Jeong Kim practices at 4500 Parsons Blvd, Flushing, NY 11355. The listed phone number is (718) 670-5974.

What is Un Jeong Kim's specialty?

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

Is Un Jeong Kim enrolled in Medicare?

Yes. Un Jeong Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Un Jeong Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Un Jeong Kim reassigns Medicare benefits to Flushing Hospital & Medical Center (Flushing, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Un Jeong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Un Jeong Kim was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.