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JUNG TAK KIM
NPI 1114697307
Acupuncturist in Flushing, NY

Active since September 17, 2021PECOS Enrolled
4124 161ST ST APT 2A2, FLUSHING, NY 11358(646) 353-7260 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jung Tak Kim NPPES

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

JUNG TAK KIM (NPI 1114697307) is an individual acupuncturist in Flushing, New York, licensed in New York (006405) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114697307
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameJUNG TAK KIM
Location Address4124 161ST ST APT 2A2Flushing, NY 11358-4137
Mailing Address4124 161st St Apt 2a2Flushing, NY 11358-4137 · (646) 353-7260
Phone(646) 353-7260
Sole ProprietorYes
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1114697307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in NY · 006405
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
4124 161ST ST APT 2A2, Flushing, NY 11358
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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)

Jung Tak 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.

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 Jung Kim's NPI number?

The NPI number for Jung Kim is 1114697307. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Jung Kim located?

Jung Kim practices at 4124 161st St Apt 2a2, Flushing, NY 11358. The listed phone number is (646) 353-7260.

What is Jung Kim's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Is Jung Kim enrolled in Medicare?

Yes. Jung Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jung Kim was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.