MS. SUN JA KIM NP
NPI 1760563753
Nurse Practitioner - Primary Care in Elmhurst, NY

Q: What is Sun Kim's NPI number?

The NPI number for Sun Kim is 1760563753. It was assigned to this individual provider in the NPPES registry on October 18, 2006. The provider is also known as Ms. Sun Ja Kim Np.

Q: What is Sun Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Sun Kim was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 18, 2006PECOS Enrolled

7901 BROADWAY, MANAGED CARE, D1-01, ELMHURST, NY 11373(718) 334-2490(718) 334-3432 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Sun Ja Kim Np NPPES

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

MS. SUN JA KIM NP (NPI 1760563753) is an individual primary care provider in Elmhurst, New York, licensed in New York (F301430) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760563753

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMS. SUN JA KIMCredential: NP

Location Address7901 BROADWAY, MANAGED CARE, D1-01Elmhurst, NY 11373-1329

Mailing Address7901 Broadway, Managed Care, D1-01Elmhurst, NY 11373-1329 · (718) 334-2490 · Fax (718) 334-3432

Phone(718) 334-2490

Fax(718) 334-3432

Sole ProprietorNo

Enumeration DateOctober 18, 2006

Last NPPES UpdateApril 13, 2016

✔ NPI 1760563753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NY · F301430

7901 BROADWAY, Elmhurst, NY 11373

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Other Names 1

Other Name (5)Ms. Sun Ja Kim Np

Other Identifiers 2

Medicaid00246075NY

Medicare ID-Type Unspecified00330128NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sun Ja Kim Np 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 11373 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

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

MR. PAUL ADRIAN POWELL P.A

Physician Assistant