JUNG TAK KIM
NPI 1114697307
Acupuncturist in Flushing, NY

NPI Status: Active since September 17, 2021

Contact Information

4124 161ST ST APT 2A2
FLUSHING, NY
ZIP 11358
Phone: (646) 353-7260

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  • Individual
  • Male
  • Acupuncturist
  • PECOS Enrolled

About JUNG KIM

This page provides the complete NPI Profile along with additional information for Jung Kim, a provider established in Flushing, New York with a medical specialization in Acupuncturist. The healthcare provider is registered in the NPI registry with number 1114697307 assigned on September 2021. The practitioner's primary taxonomy code is 171100000X with license number 006405 (NY). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1114697307
Provider Name
JUNG TAK KIM
Gender
Male
Entity Type
Individual
Location Address
4124 161ST ST APT 2A2 FLUSHING, NY 11358
Location Phone
(646) 353-7260
Mailing Address
4124 161ST ST APT 2A2 FLUSHING, NY 11358
Mailing Phone
(646) 353-7260
Is Sole Proprietor?
Yes
Enumeration Date
09-17-2021
Last Update Date
09-17-2021
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An acupuncturist like Jung Kim specializes in diagnosing, treating, and preventing some diseases using acupuncture needles. Acupuncturists carefully insert and manipulate fine, solid needles at specific points on the skin to achieve therapeutic benefits. Modern medicine explains that acupuncture works by stimulating the nervous system, causing the body to release certain chemicals, including endorphins, in the muscles, spinal cord, and brain. These chemicals assist the body in managing and regulating pain. Other commonly used treatment methods in acupuncture include herbs or mixtures of herbs, and acupressure, which involves massaging acupuncture points instead of using needles.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Acupuncturist

Taxonomy Code
171100000X
Type
Other Service Providers
License No.
006405
License State
NY
Taxonomy Description
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Medicare Participation & PECOS Enrollment Status

Jung Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114697307
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241291430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 2 + 9 + 1 + 4 + 3 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1114697307 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114697307, enumerated in the NPI registry as an "individual" on September 17, 2021

The provider is located at 4124 161st St Apt 2a2 Flushing, Ny 11358 and the phone number is (646) 353-7260

The provider's speciality is Acupuncturist with taxonomy code 171100000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on September 17, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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