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

Ju Won Kim

Individual provider Family Nurse Practitioner · NPI 1699561159

Ju Won Kim is a Nurse Practitioner in Essex, Connecticut. Qualified in 2025, 1 year ago. Practices with Prohealth Physicians PC, a 212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2025
Specialties on file
2

Practice location Address checks out

10 Wildwood Medical Ctr
Essex, CT 06426-1154
Phone: (860) 767-0145
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 15136 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 196260 (CT)

Record details

NPI number1699561159
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2025
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address10 Wildwood Medical Ctr, Essex, CT 06426-1154

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Prohealth Physicians Pc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Essex