SUNG-JU THONGUSK KIM
NPI 1144021338
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 24, 2025PECOS Enrolled
635 ALBANY ST, BOSTON, MA 02118(617) 414-7558 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sung-ju Thongusk Kim NPPES

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

SUNG-JU THONGUSK KIM (NPI 1144021338) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144021338
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSUNG-JU THONGUSK KIM
Location Address635 ALBANY STBoston, MA 02118-3550
Mailing Address635 Albany StBoston, MA 02118-3550 · (617) 414-7558
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
NPI 1144021338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
635 ALBANY ST, Boston, MA 02118

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sung-ju Thongusk 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.

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.

Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Dentist
635 ALBANY ST
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Dentist
635 ALBANY ST
BOSTON, MA 02118
Dentist (General Practice)
635 ALBANY ST
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Dentist (Prosthodontics)
635 ALBANY ST
BOSTON, MA 02118
Dentist (Periodontics)
635 ALBANY ST
BOSTON, MA 02118

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 Sung-ju Kim's NPI number?

The NPI number for Sung-ju Kim is 1144021338. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Sung-ju Kim located?

Sung-ju Kim practices at 635 Albany St, Boston, MA 02118. The listed phone number is (617) 414-7558.

What is Sung-ju Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sung-ju Kim enrolled in Medicare?

Yes. Sung-ju Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sung-ju Kim was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.