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MS. JIYOUNG KIM NP
NPI 1154104289
Nurse Practitioner - Primary Care in Elmhurst, NY

Active since August 14, 2023PECOS Enrolled
4010 77TH ST APT N3, ELMHURST, NY 11373(914) 987-8600 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jiyoung Kim Np NPPES

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

MS. JIYOUNG KIM NP (NPI 1154104289) is an individual primary care provider in Elmhurst, New York, licensed in New York (F349901) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154104289
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. JIYOUNG KIMCredential: NP
Location Address4010 77TH ST APT N3Elmhurst, NY 11373-1109
Mailing Address4010 77th St Apt N3Elmhurst, NY 11373-1109 · (914) 987-8600
Phone(914) 987-8600
Sole ProprietorNo
Enumeration DateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1154104289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · F349901
4010 77TH ST APT N3, Elmhurst, NY 11373
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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)

Ms. Jiyoung Kim Np 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 11373 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.

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 Jiyoung Kim's NPI number?

The NPI number for Jiyoung Kim is 1154104289. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Jiyoung Kim located?

Jiyoung Kim practices at 4010 77th St Apt N3, Elmhurst, NY 11373. The listed phone number is (914) 987-8600.

What is Jiyoung Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jiyoung Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jiyoung Kim was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.