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

Gum Ju Sim

Individual provider Massage Therapist · NPI 1407791882

Gum Ju Sim is a Massage Therapist in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

19038A 69th Ave Apt 1A
Fresh Meadows, NY 11365-3714
Phone: (516) 743-9233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 022445 (NY)

Record details

NPI number1407791882
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address19038a 69th Ave Apt 1a, Fresh Meadows, NY 11365-3714

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