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BOO KYUNG KIM PA-C
NPI 1285376749
Physician Assistant in Long Island City, NY

Active since April 13, 2022PECOS EnrolledAccepts Medicare Assignment
1027 46TH AVE, LONG ISLAND CITY, NY 11101(212) 385-3700 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Apr 13, 2022 (2 updates tracked since 2022).

About Boo Kyung Kim Pa-c NPPES

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

BOO KYUNG KIM PA-C (NPI 1285376749) is an individual physician assistant in Long Island City, New York, licensed in New York (030663) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285376749
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBOO KYUNG KIMCredential: PA-C
Location Address1027 46TH AVELong Island City, NY 11101-5245
Mailing Address1027 46th AveLong Island City, NY 11101-5245 · (212) 385-3700
Phone(212) 385-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 13, 2022
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1285376749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 030663✔ Licensed in IL · 085.008925
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1027 46TH AVE, Long Island City, NY 11101
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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 and accepts Medicare assignment

Boo Kyung Kim Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840687356
PECOS Enrollment IDI20250428002736
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 11101 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
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAELI ROMERO PA-C
Physician Assistant
1027 46TH AVE
LONG ISLAND CITY, NY 11101
Queens County (212) 385-3700
JULIA HADLEY PA-C
Physician Assistant
1027 46TH AVE
LONG ISLAND CITY, NY 11101
Queens County (212) 385-3700
MONICA FORD PA-C
Physician Assistant
1027 46TH AVE
LONG ISLAND CITY, NY 11101
Queens County (212) 385-3700
KARISSA LYNN RAMOS PA-C
Dermatology
1027 46TH AVE
LONG ISLAND CITY, NY 11101
Queens County (212) 385-3700
STACEY LILLIAN DANZIGER PA-C
Physician Assistant
1027 46TH AVE
LONG ISLAND CITY, NY 11101
Queens County (212) 385-3700
RAWAN N MUNASSAR
Physician Assistant
1027 46TH AVE
LONG ISLAND CITY, NY 11101
Queens County (718) 964-8589
REBECCA LANA KRAVTSOV PA-C
Physician Assistant
1027 46TH AVE
LONG ISLAND CITY, NY 11101
Queens County (212) 385-3700
ASHIKA S PATEL PHYSICIAN ASSISTANT
Physician Assistant
1027 46TH AVE
LONG ISLAND CITY, NY 11101
Queens County (212) 385-3700

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 Boo Kyung Kim's NPI number?

The NPI number for Boo Kyung Kim is 1285376749. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Boo Kyung Kim located?

Boo Kyung Kim practices at 1027 46th Ave, Long Island City, NY 11101. The listed phone number is (212) 385-3700.

What is Boo Kyung Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Boo Kyung Kim enrolled in Medicare?

Yes. Boo Kyung Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Boo Kyung Kim was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.