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Jenna Kim

Physician Assistant β€’ Patchogue, NY

Active NPI 1730990417 Individual Practitioner Female Practitioner
Practice location in NPPES

101 Hospital Rd
Patchogue, NY 117724870

Call 6316547100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

101 Hospital Rd

Patchogue, NY 117724870

Telephone 6316547100
Organization at the Same NPPES Address or Phone
Long Island Community Hospital At Nyu Langone Health Facility NPI 1053354100

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $80.94 across 3 records.

By nature of payment

  • Food and Beverage: $80.94 across 3 records.

Reporting-company totals

  • Novocure Inc.: $80.94 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jenna Kim has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jenna Kim as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Patchogue and New York

79 active clinicians are listed under Physician Assistant with a practice address in Patchogue, NY (15,558 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Patchogue

2.5% of these 79 clinicians have the CMS telehealth indicator.

68.4% of these 79 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $80.94.

Manufacturer Payment Nature Product Type Amount ($)
Novocure Inc.
Food and Beverage
Cash or cash equivalent
Optune Gio General $33.34
Novocure Inc.
Food and Beverage
Cash or cash equivalent
Optune Lua (NovoTTF-200T) General $30.31
Novocure Inc.
Food and Beverage
Cash or cash equivalent
Optune Gio General $17.29

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250610002232

Enrollment State Jurisdiction

NY

PECOS Control ID

5597275412

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

38 listed
Michael Alex , PA

Physician Assistant - Medical

NPI 1285205260

Physician Assistant

Dr. Ijeoma Aneke , MD

Internal Medicine

NPI 1669932182

Doctor of Medicine (M.D.)

Ashley Arroyo , PA

Physician Assistant

NPI 1275164287

Physician Assistant

Dr. Pedro Baez , MD

Internal Medicine

NPI 1841300191

Doctor of Medicine (M.D.)

Brian Barnett , PA

Physician Assistant

NPI 1558092080

Physician Assistant

Courtney Bofinger , PA

Physician Assistant

NPI 1013496579

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location March 12, 2025

Registered at 101 HOSPITAL RD, PATCHOGUE, NY 117724870 (Tel: 6316547100)

βœ…
NPI Profile Active January 14, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 14, 2025

Registered at 1000 N WESTMORELAND RD, LAKE FOREST, IL 600451658 (Tel: 8472345600)

πŸ“
Business Mailing Address (Initial Record) January 14, 2025

Registered at 2037 DAUNTLESS DR, GLENVIEW, IL 600266811

πŸ‘€
Provider Name / Credentials (Initial Record) January 14, 2025

Recorded as JENNA KIM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2025

Physician Assistant

🟒
Initial NPI Registration & Enumeration January 14, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730990417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2025
Last Update: March 12, 2025
Sole Proprietor: Yes

Other Physician Assistants in Patchogue

All Physician Assistants in Patchogue

Mailing Address

2037 Dauntless Dr

Glenview, IL 600266811

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.