Ms Ji Young Kim, | |
979 Cross Bronx Expy, Bronx, NY 10460-4885 | |
(646) 579-7430 | |
Not Available |
Full Name | Ms Ji Young Kim |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 979 Cross Bronx Expy, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285989244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F337461-1 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F404184-1 (New York) | Primary |
Entity Name | Essen Medical Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
Entity Name | Metro Community Health Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841536554 PECOS PAC ID: 8921227687 Enrollment ID: O20140912000473 |
Entity Name | Essen Medical Urgicare, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903 |
Mailing Address | Practice Location Address |
---|---|
Ms Ji Young Kim, 3198 Grand Concourse, Bronx, NY 10458-1000 Ph: (718) 618-0401 | Ms Ji Young Kim, 979 Cross Bronx Expy, Bronx, NY 10460-4885 Ph: (646) 579-7430 |
Ms. Christina Marie Araujo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Mickle Ave, Bronx, NY 10469 Phone: 718-652-4647 | |
Tandika Boatswain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797 | |
Mrs. Oluebere Chinyere Nwokocha, REGISTERED NURSE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797 | |
Silvia R Mehmel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 Woodhull Ave, Bronx, NY 10469 Phone: 718-618-0401 Fax: 718-294-6276 | |
Mrs. Ashley Rae Noboa, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3415 Bainbridge Ave, Bronx, NY 10467 Phone: 718-920-7200 Fax: 718-547-2929 | |
Ms. Charleen Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3444 Kossuth Ave, Mmg Family Care Center, Bronx, NY 10467 Phone: 718-920-2273 | |
Mrs. Keisha A Ballentine-cargill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 841 Burke Ave, Bronx, NY 10467 Phone: 718-654-1726 |