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JAKE KIM NP
NPI 1245774355
Nurse Practitioner - Family in New York, NY

Active since December 08, 2016
1468 MADISON AVENUE, BOX 1495, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jake Kim Np NPPES

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

JAKE KIM NP (NPI 1245774355) is an individual family provider in New York, New York, licensed in New York (F340534) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1245774355
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAKE KIMCredential: NP
Location Address1468 MADISON AVENUE, BOX 1495New York, NY 10029-6574
Mailing Address1 Gustave L. Levy PlaceNew York, NY 10029-6574
Phone(212) 241-6500
Sole ProprietorYes
Enumeration DateDecember 8, 2016
Last NPPES UpdateMarch 23, 2017
✔ NPI 1245774355 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 · F340534
1468 MADISON AVENUE, New York, NY 10029
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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.

MR. JASON JACKSON P.T.
Physical Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
New York County (212) 241-8045
MS. JILL POSA OTR/L
Occupational Therapist
1468 MADISON AVENUE
NEW YORK, NY 10029
New York County (212) 241-4477
DAISY ELIZABETH BURNS LMSW
Social Worker
1468 MADISON AVENUE, ANNENBERG BUILDING, 4TH FLOOR
NEW YORK, NY 10029
New York County (212) 241-0260
DR. JORGE LUIS SAMANAMUD MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVENUE, DEPARTMENT OF PATHOLOGY 15TH FLOOR
NEW YORK, NY 10029
New York County (646) 323-6541
HANY YOUSSEF PA
Physician Assistant (Surgical)
1468 MADISON AVENUE, DEPARTMENT OF GENERAL SURGERY
NEW YORK, NY 10029
New York County (212) 241-6696
DANIELLE FAERSHTEIN
Nurse Practitioner (Family)
1468 MADISON AVENUE, 3RD FLOOR
NEW YORK, NY 10029
New York County (212) 241-5561
DR. ROBERT MYERS MD, PHD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVENUE, DEPARTMENT OF PATHOLOGY, ANNENBERG BUILDING, 15TH FLOOR
NEW YORK, NY 10029
New York County (908) 672-2961
MS. CANDIDA IODICE OTR/CHT
Occupational Therapist (Hand)
1468 MADISON AVENUE
NEW YORK, NY 10029
New York County (212) 241-4477

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 Jake Kim's NPI number?

The NPI number for Jake Kim is 1245774355. It was assigned to this individual provider in the NPPES registry on December 8, 2016.

Where is Jake Kim located?

Jake Kim practices at 1468 Madison Avenue Box 1495, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Jake Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Jake Kim was last updated on March 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.