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SUNGKYUNG KELLY KEUM FNP
NPI 1750278008
Nurse Practitioner - Family in New York, NY

Active since June 19, 2025PECOS Enrolled
1468 MADISON AVE, NEW YORK, NY 10029(201) 317-8528 Get Directions Write a Review

NPPES record last updated: June 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sungkyung Kelly Keum Fnp NPPES

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

SUNGKYUNG KELLY KEUM FNP (NPI 1750278008) is an individual family provider in New York, New York, licensed in New York (F354878) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750278008
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUNGKYUNG KELLY KEUMCredential: FNP
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address441 Cedar AveParamus, NJ 07652-5740
Phone(201) 317-8528
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 19, 2025
Last NPPES UpdateJune 21, 2025
NPPES CertifiedJune 21, 2025
✔ NPI 1750278008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F354878
1468 MADISON AVE, New York, NY 10029
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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 (PECOS)

Sungkyung Kelly Keum Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274035811
PECOS Enrollment IDI20250904001145
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 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
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.

JA'NET RUSSELL
Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
FRANCESCA YI MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-8578
DR. ELENI VASILEIOU MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (443) 248-8436
SRILAKSHMI GARIKAPATI
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MARY OSMAN THERAPY LLC
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
New York County (973) 298-0929
GIORGIA IANNETTI PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MISS SAMANTHA LUCILLE BURAGAS PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
CAM THAI
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500

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 Sungkyung Keum's NPI number?

The NPI number for Sungkyung Keum is 1750278008. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Where is Sungkyung Keum located?

Sungkyung Keum practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (201) 317-8528.

What is Sungkyung Keum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sungkyung Keum enrolled in Medicare?

Yes. Sungkyung Keum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sungkyung Keum was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.