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

Jimyeong Son

Individual provider Adult Health Nurse Practitioner · NPI 1548915622

Jimyeong Son is a Nurse Practitioner in Manhasset, New York. Qualified in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

400 Community Dr
Manhasset, NY 11030-3815
Phone: (833) 454-8377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 261 E 78th St, New York, NY 10075-1216 — (833) 454-8377

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 1557056 (NY)

Record details

NPI number1548915622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 16, 2022
Last updated in NPPESJuly 16, 2022
Certification dateJuly 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manhasset