Jiyon Jennifer Kim, PA-C, MPAS
Jiyon Jennifer Kim, PA-C, MPAS is a Physician Assistant in Massapequa, New York. Graduated from State University of New York Downstate Medical Center in 1999, 27 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 27
- Trained at
- State University of New York Downstate Medical Center
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
727 Broadway Ste B4Massapequa, NY 11758
Phone: (516) 799-0210
Fax: (516) 799-6569
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 006956 (NY) |
|---|
Record details
| NPI number | 1942388061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C , MPAS |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2006 |
| Last updated in NPPES | May 14, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduated | 1999 (27 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Massapequa
-
Jenna Davino
4160 Merrick Rd Ste 3, Massapequa, NY 11758-6027 · (516) 590-7410
-
Mr. Lawrence Waxman, RPA-C
5500 Merrick Rd, Massapequa, NY 11758-6231 · (516) 795-3033