Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elly Jinok Kim

Individual provider Family Nurse Practitioner · NPI 1700232675

Elly Jinok Kim is a Nurse Practitioner in Bronx, New York. Qualified in 2016, 10 years ago. Practices with Yes Wellness PA, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

260 E 188th St
Bronx, NY 10458-3817
Phone: (718) 618-8365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F340386-1 (NY)

Record details

NPI number1700232675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESOctober 12, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Yes Wellness Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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