Doctor profile · Federal record
Dr. Jin Seo Kim, PA-C
Physician Assistant · Mineola, NY
- NPI 1659045003
- Accepts Medicare
- MIPS 84.5 / 100 · 2023
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
259 1St St
Mineola, NY 115013957
(516) 663-0333 - Mailing address
-
17505 Horace Harding Expy
Fresh Meadows, NY 113651535
Credentials & registration
- NPI registered
- August 2021 — 5 yrs on file
- Profile last updated
- July 4, 2022
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659045003. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$40
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Solventum Corporation | 1 | $25.38 | |
| Cumberland Pharmaceuticals, INC. | 1 | $14.19 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
13
Total drug cost
$76
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 13 | 13 | $76 |
Hospital affiliations
Frequently asked questions
What is Dr. Jin Seo Kim's medical specialty?
Dr. Jin Seo Kim practices Physician Assistant in Mineola, NY.
Where does Dr. Jin Seo Kim practice?
Dr. Jin Seo Kim practices at 259 1St St, Mineola, NY 115013957. Office phone: 5166630333.
What is Dr. Jin Seo Kim's NPI?
Dr. Jin Seo Kim's National Provider Identifier (NPI) is 1659045003, issued by NPPES.
Does Dr. Jin Seo Kim accept Medicare assignment?
Yes. Dr. Jin Seo Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.