1. Home
  2. Directory
  3. New York
  4. Yonkers
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JUSTINE KIM
NPI 1821452582
Student in an Organized Health Care Education/Training Program in Yonkers, NY

Active since April 08, 2016PECOS Enrolled
168 MAYFAIR RD, YONKERS, NY 10710(718) 551-2274 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justine Kim NPPES

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

JUSTINE KIM (NPI 1821452582) is an individual student in an organized health care education/training program in Yonkers, New York and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2016).

NPPES Registry Identity

NPI1821452582
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJUSTINE KIM
Location Address168 MAYFAIR RDYonkers, NY 10710-3302
Mailing Address168 Mayfair RdYonkers, NY 10710-3302 · (718) 551-2274
Phone(718) 551-2274
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2016
Enumeration DateApril 8, 2016
✔ NPI 1821452582 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.
168 MAYFAIR RD, Yonkers, NY 10710
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justine Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224382510
PECOS Enrollment IDI20200812002625
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 Justine Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chen & Morgan Ob-Gyn Westside PLLC
14 mi
Specialist
620 COLUMBUS AVE
New York, NY 10024
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1184732760 (212) 580-3866

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services76 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
71 services71 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
21 services21 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
19 services17 patients

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 Justine Kim's NPI number?

The NPI number for Justine Kim is 1821452582. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Justine Kim located?

Justine Kim practices at 168 Mayfair Rd, Yonkers, NY 10710. The listed phone number is (718) 551-2274.

What is Justine 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 Justine Kim enrolled in Medicare?

Yes. Justine Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justine Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justine Kim reassigns Medicare benefits to Chen & Morgan Ob-Gyn Westside PLLC (New York, 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 Justine 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 Justine Kim was last updated on April 8, 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.