Jenna Kim
NPI 1730990417 · Physician Assistant · Patchogue, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jenna Kim is a Physician Assistant provider in Patchogue, NY (NPI 1730990417).
Provider details
- NPI number
- 1730990417
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-14
- Last updated
- 2025-03-12
- Certified
- 2025-03-12
Frequently asked questions
- What is Jenna Kim's NPI number?
- Jenna Kim's National Provider Identifier (NPI) is 1730990417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jenna Kim's specialty?
- Jenna Kim is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jenna Kim located?
- Jenna Kim's practice location on file with NPPES is 101 Hospital Rd, Patchogue, NY 11772-4870.
- What is Jenna Kim's phone number?
- The practice phone number listed in the NPPES registry for Jenna Kim is (631) 654-7100.
- Does Jenna Kim accept Medicare?
- Jenna Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jenna Kim's NPI active?
- Yes — Jenna Kim's NPI (1730990417) is active in the NPPES registry as of the last update on 2025-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.