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JOSEPH YECHAN KIM
NPI 1457054330
Student in an Organized Health Care Education/Training Program in Plainview, NY

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
888 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 719-2543 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joseph Yechan Kim NPPES

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

JOSEPH YECHAN KIM (NPI 1457054330) is an individual student in an organized health care education/training program in Plainview, New York and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2023).

NPPES Registry Identity

NPI1457054330
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH YECHAN KIM
Location Address888 OLD COUNTRY RDPlainview, NY 11803-4914
Mailing Address888 Old Country RdPlainview, NY 11803-4914 · (516) 719-2543
Phone(516) 719-2543
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2023
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1457054330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
888 OLD COUNTRY RD, Plainview, NY 11803
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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

Joseph Yechan 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.

PECOS PAC ID547724627
PECOS Enrollment IDI20260709002615
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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore-Lij Medical PC
12 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SKYE FELICE DO
Hospitalist
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
PLAINVIEW MEDICAL CENTER
General Acute Care Hospital
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (415) 317-5382
DR. JUSTIN CHACKO D.O.
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
AMRINDER JAWANDHA PA-C
Physician Assistant (Surgical)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
DR. EVAN GREEN D.O.
Orthopaedic Surgery (Orthopaedic Trauma)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (760) 490-7392
ALEXANDRA CERONE
Dietitian, Registered
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
KUSHKARAN KAUR DPM
Podiatrist (Foot & Ankle Surgery)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (732) 281-4583
MICHAEL ATALLAH DO
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000

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 Joseph Kim's NPI number?

The NPI number for Joseph Kim is 1457054330. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Joseph Kim located?

Joseph Kim practices at 888 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 719-2543.

What is Joseph Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joseph Kim enrolled in Medicare?

Yes. Joseph 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 Joseph Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Kim reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, 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 Joseph Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joseph Kim was last updated on March 22, 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.