SOYON KIM
NPI 1407369788
Nurse Practitioner - Adult Health in New Hyde Park, NY
About Soyon Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOYON KIM (NPI 1407369788) is an individual adult health provider in New Hyde Park, New York, licensed in New York (308382) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Soyon Kim 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.
Medicare Billing Reassignment
Medicare enrollment records show Soyon Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manhasset, NY 11030
- Reassigned Medicare billing, New York enrollment
- 104 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore University Hospital
Acute Care Hospitals · Manhasset, NYLong Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Soyon Kim's NPI number?
The NPI number for Soyon Kim is 1407369788. It was assigned to this individual provider in the NPPES registry on November 9, 2017.
Where is Soyon Kim located?
Soyon Kim practices at 1991 Marcus Ave Ste M201, New Hyde Park, NY 11042. The listed phone number is (718) 484-5000.
What is Soyon Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Soyon Kim enrolled in Medicare?
Yes. Soyon 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.
Which organization bills Medicare for Soyon Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soyon Kim reassigns Medicare benefits to Prine Health Medical Group, PLLC (Manhasset, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soyon Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Soyon Kim affiliated with any hospitals?
According to CMS data, Soyon Kim is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Soyon Kim was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Soyon Kim · NPI 1407369788
Adult Health physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since November 9, 2017.
## Identity
- **NPI:** 1407369788 (Entity type: Individual)
- **Enumerated:** November 9, 2017
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 308382 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1991 MARCUS AVE STE M201, New Hyde Park, NY 11042-3000
- **Phone:** (718) 484-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prine Health Medical Group, PLLC (NPI 1144790163, Manhasset, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** November 9, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1407369788) · Data from the CMS NPPES public registry.