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JIYON JENNIFER KIM P.A.-C., MPAS
NPI 1942388061
Physician Assistant - Surgical in Massapequa, NY

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
727 BROADWAY, SUITE B4, MASSAPEQUA, NY 11758(516) 799-0210(516) 799-6569 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jiyon Jennifer Kim P.a.-c., Mpas NPPES

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

JIYON JENNIFER KIM P.A.-C., MPAS (NPI 1942388061) is an individual surgical provider in Massapequa, New York, licensed in New York (006956) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1999).

NPPES Registry Identity

NPI1942388061
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJIYON JENNIFER KIMCredential: P.A.-C., MPAS
Location Address727 BROADWAY, SUITE B4Massapequa, NY 11758
Mailing Address755 Park Ave, Ste 500Huntington, NY 11743-3979 · (631) 271-2769 · Fax (631) 271-1730
Phone(516) 799-0210
Fax(516) 799-6569
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1999
Enumeration DateNovember 2, 2006
Last NPPES UpdateMay 14, 2019
✔ NPI 1942388061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 006956
727 BROADWAY, Massapequa, NY 11758
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jiyon Jennifer Kim P.a.-c., Mpas 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 ID345265476
PECOS Enrollment IDI20051007000730
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.

Areas of Expertise CMS Part B claims 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
328 services43 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
123 services62 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
77 services46 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
74 services50 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
72 services52 patients
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301
This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
57 services26 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
60%40 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%40 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

MS. MARIETTA BUSA PA
Physician Assistant (Medical)
727 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (516) 799-0210
LINDA M WRIGHT-SENZER MENTAL HEALTH COUNSE
Counselor
727 BROADWAY, STE B3
MASSAPEQUA, NY 11758
Nassau County (516) 724-4054

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 Jiyon Kim's NPI number?

The NPI number for Jiyon Kim is 1942388061. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Jiyon Kim located?

Jiyon Kim practices at 727 Broadway Suite B4, Massapequa, NY 11758. The listed phone number is (516) 799-0210.

What is Jiyon Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jiyon Kim enrolled in Medicare?

Yes. Jiyon 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.

When was this NPI record last updated?

The NPPES record for Jiyon Kim was last updated on May 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.