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FUNCTIONAL NURSE PRACTITIONER IN FAMILY HEALTH
NPI 1619862943
Nurse Practitioner - Family in New York, NY

Active since June 09, 2025
2 W 32ND ST STE 602, NEW YORK, NY 10001(917) 309-0729 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 25, 2025, Jun 9, 2025 (2 updates tracked since 2025).

About Functional Nurse Practitioner In Family Health NPPES

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

FUNCTIONAL NURSE PRACTITIONER IN FAMILY HEALTH (NPI 1619862943) is a healthcare organization registered as a family in New York, New York and active in the NPI registry since June 2025. The organization lists Hyunchu Kim Gold, Staff Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1619862943
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFUNCTIONAL NURSE PRACTITIONER IN FAMILY HEALTH
Location Address2 W 32ND ST STE 602New York, NY 10001-0602
Mailing Address2 W 32nd St Ste 602New York, NY 10001-0602 · (917) 309-0729
Phone(917) 309-0729
Organization SubpartNo
Authorized OfficialHyunchu Kim GoldStaff Nurse Practitioner · (917) 309-0729
Enumeration DateJune 9, 2025
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1619862943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/CenterTaxonomy 261Q00000X
2 W 32ND ST STE 602, New York, NY 10001
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Other Names 1

Other NameRevive Wellness

Other Providers at the Same Location NPPES 6

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

JP WELLNESS CHIROPRACTIC
Chiropractor
2 W 32ND ST STE 602
NEW YORK, NY 10001
New York County (917) 846-7921
YEO MASSAGE THERAPY PC
Massage Therapist
2 W 32ND ST STE 602
NEW YORK, NY 10001
New York County (347) 804-5037
YOUNGHWAN JANG
Physical Therapist
2 W 32ND ST STE 602
NEW YORK, NY 10001
New York County (201) 774-8275
JSP PHYSICAL THERAPY P.C.
Physical Therapist
2 W 32ND ST STE 602
NEW YORK, NY 10001
New York County (646) 402-1951
CITY LIFE ACUPUNCTURE PC
Acupuncturist
2 W 32ND ST STE 602
NEW YORK, NY 10001
New York County (201) 800-2641
MIN JUNG KIM L.A.C
Acupuncturist
2 W 32ND ST STE 602
NEW YORK, NY 10001
New York County (212) 564-1206

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 Functional Nurse Practitioner In Family Health's NPI number?

The NPI number for Functional Nurse Practitioner In Family Health is 1619862943. It was assigned to this organization in the NPPES registry on June 9, 2025. The provider is also known as Revive wellness.

Where is Functional Nurse Practitioner In Family Health located?

Functional Nurse Practitioner In Family Health is located at 2 W 32nd St Ste 602, New York, NY 10001. The listed phone number is (917) 309-0729.

What is Functional Nurse Practitioner In Family Health'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 Functional Nurse Practitioner In Family Health was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.