Active NPIIndividual providerSole proprietor

Jina Kim, FNP

Nurse Practitioner in Manhasset, New York

NPI Number1023468832
Practice location
600 Community Dr, Manhasset, NY 11030-3802
Fax
—
Last updated
July 28, 2026

Jina Kim is a Nurse Practitioner based in Manhasset, NY. Jina Kim practices in Manhasset, NY and has the professional credentials of FNP. The NPI Number for Jina Kim is 1023468832 and holds a License No. 340441 (NY). The current practice location address for Jina Kim is 600 Community Dr, Manhasset, NY 11030-3802 and can be reached out via phone at 516-419-6036.

Provider Profile Details

NPI Number
1023468832
Provider Name
Jina Kim
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
600 Community Dr, Manhasset, NY 11030-3802
Phone Number
516-419-6036
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2016
Last Update Date
July 28, 2026
Certification Date
July 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
600 Community Dr
Manhasset, NY 11030-3802
Zip
11030-3802
Phone Number
516-419-6036
Manhasset, NY 11030Get directions →

Provider Business Mailing Address Details

Address
600 Community Dr
Manhasset, NY 11030-3802
City
Manhasset
State
NY
Zip
11030-3802
Phone Number
516-419-6036

License Information

License Number (1)
340441
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
12831
License State (2)
CT
Taxonomy (2)
Nurse Practitioner · 363L00000X
License Number (3)
340441
License State (3)
NY
Taxonomy (3)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jina Kim, FNP?

The NPI number of Jina Kim, FNP is 1023468832. It was assigned on June 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Jina Kim, FNP?

Jina Kim, FNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NY under license number 340441.

Where does Jina Kim, FNP practice?

The practice location is 600 Community Dr, Manhasset, NY 11030-3802. The office can be reached at 516-419-6036 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023468832 directly on the NPPES registry website.

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