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

Jina Kim, FNP

Individual provider Family Nurse Practitioner · NPI 1023468832

Jina Kim, FNP is a Nurse Practitioner in Manhasset, New York. Qualified in 2015, 11 years ago. Practices with North Shore-Lij Medical Group PC, a 31-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and New York.

Years since qualifying
11
Licensed in
CT, NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

600 Community Dr
Manhasset, NY 11030-3802
Phone: (516) 419-6036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1266 E Main St Ste Rofc619, Stamford, CT 06902-3546 — (347) 252-9771
  • 401 Park Ave S, New York, NY 10016-8808 — (347) 252-9771

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 340441 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 340441 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 12831 (CT)

Record details

NPI number1023468832
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJune 13, 2016
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Shore-Lij Medical Group Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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