Jinyoung Kim, PT, LAC is a
Physical Therapist based in Bayside, New York. Jinyoung Kim is licensed to practice in New York (license number 042377) and his current practice location is
22304 56th Rd Fl 2, Bayside, New York. He can be reached at his office (for appointments etc.) via phone at
(201) 732-3333.
NPI number for Jinyoung Kim is 1083379416 and his current mailing address is 22304 56th Rd Fl 2, Bayside, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083379416.
Healthcare Provider's Profile
| Full Name | Jinyoung Kim |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 22304 56th Rd Fl 2, Bayside, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083379416
- Provider Enumeration Date: 11/01/2021
- Last Update Date: 05/21/2025
Medical Identifiers
Medical identifiers for Jinyoung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083379416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 007726 (New York) | Secondary |
| 225100000X | Physical Therapist | 042377 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jinyoung Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jinyoung Kim, PT, LAC
22304 56th Rd Fl 2,
Bayside, NY 11364-2040
Ph: (201) 732-3333 | Jinyoung Kim, PT, LAC
22304 56th Rd Fl 2,
Bayside, NY 11364-2040
Ph: (201) 732-3333 |
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