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KRISTEN SOJUNG KIM PA-C
NPI 1326572629
Physician Assistant in Jamaica, NY

Active since April 13, 2017PECOS Enrolled
8268 164TH ST, JAMAICA, NY 11432(646) 719-4136 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 10, 2023, Apr 13, 2017 (2 updates tracked since 2017).

About Kristen Sojung Kim Pa-c NPPES

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

KRISTEN SOJUNG KIM PA-C (NPI 1326572629) is an individual physician assistant in Jamaica, New York, licensed in New York (020757-1) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326572629
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN SOJUNG KIMCredential: PA-C
Location Address8268 164TH STJamaica, NY 11432-1121
Mailing Address4338 164th StFlushing, NY 11358-3253 · (646) 719-4136
Phone(646) 719-4136
Sole ProprietorYes
Enumeration DateApril 13, 2017
Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1326572629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 020757-1
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.
8268 164TH ST, Jamaica, NY 11432
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Other Names 1

Former Name (1)Sojung Lee

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Sojung Kim Pa-c 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 11432 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 20

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

MRS. NGA HOANG NGUYEN PHARMACIST
Pharmacist
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3889
SHEILA A KERN PA-C
Physician Assistant (Medical)
8268 164TH ST, ROOM A531
JAMAICA, NY 11432
Queens County (718) 883-4133
WHITNEY WU LCSW
Social Worker
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3573
KANWAL RASHID MD
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4583
MOAZAMA SHAKEEL AHMED
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4583
DR. ANURITA CHATTERJEE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
MS. SUZANNE J FORRESTER-LOWE PA
Physician Assistant
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
DR. GLENNA B RUBIN PSYD
Psychologist (Clinical Child & Adolescent)
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225

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 Kristen Kim's NPI number?

The NPI number for Kristen Kim is 1326572629. It was assigned to this individual provider in the NPPES registry on April 13, 2017. The provider is also known as Sojung Lee.

Where is Kristen Kim located?

Kristen Kim practices at 8268 164th St, Jamaica, NY 11432. The listed phone number is (646) 719-4136.

What is Kristen Kim's specialty?

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

Is Kristen Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristen Kim was last updated on August 10, 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.