Doctor profile · Federal record

Dr. Ju Kim

Family Nurse Practitioner (CMS: Nurse Practitioner) · Fayetteville, NY

  • NPI 1710764550
  • Accepts Medicare
  • 3 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4000 Medical Center, Suite 212
Fayetteville, NY 13066
(315) 744-1570
Mailing address
4000 Medical Center Dr, Suite 212
Fayetteville, NY 13066

Credentials & registration

NPPES · NUCC
NPI registered
September 2023 — 3 yrs on file
Profile last updated
May 16, 2024
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
New York #351939

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1710764550. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$546
Transactions
19
Manufacturers
6
Payer (manufacturer) Industry Txns Amount
Boehringer Ingelheim Pharmaceuticals, Inc. 3 $154.61
AstraZeneca Pharmaceuticals LP 3 $149.68
Novartis Pharmaceuticals Corporation 8 $140.04
Amgen Inc. 3 $53.31
Regeneron Healthcare Solutions, Inc. 1 $28.75
Merck Sharp & Dohme LLC 1 $19.62

By nature of payment

Food and Beverage
$546

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Ju Kim's medical specialty?
Dr. Ju Kim practices Family Nurse Practitioner in Fayetteville, NY.
Where does Dr. Ju Kim practice?
Dr. Ju Kim practices at 4000 Medical Center, Fayetteville, NY 13066. Office phone: 3157441570.
What is Dr. Ju Kim's NPI?
Dr. Ju Kim's National Provider Identifier (NPI) is 1710764550, issued by NPPES.
Does Dr. Ju Kim accept Medicare assignment?
Yes. Dr. Ju Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.