Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730990417 Individual Practitioner Female Practitioner

Jenna Kim

Physician Assistant • Patchogue, NY

Professional Overview & Biography Verified Profile Summary

Jenna Kim is a registered healthcare professional specializing in Physician Assistant in Patchogue, NY. Practice services are available at 101 HOSPITAL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Hospital Rd

Patchogue, NY 117724870

Telephone 6316547100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Patchogue, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.7 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
81 Specialists

Practicing in Patchogue, NY (15701 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013156934

Doctor of Medicine (M.D.)

Dr. Vaishali Mehta , MD

Internal Medicine - Critical Care Medicine

NPI 1013477132

Doctor of Medicine (M.D.)

Courtney Bofinger , PA

Physician Assistant

NPI 1013496579

Physician Assistant

Annette Pope-Morris , PA

Physician Assistant - Medical

NPI 1023070216

Physician Assistant

Meaghan Chou , PA-C

Physician Assistant

NPI 1033096565

Physician Assistant (Certified)

Austin Budhram , PA-C

Physician Assistant - Medical

NPI 1043108905

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location March 12, 2025

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

NPI Profile Active January 14, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2025

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

📍
Updated Business Mailing Address January 14, 2025

Registered at 2037 DAUNTLESS DR, GLENVIEW, IL 600266811

👤
Provider Name / Credentials Updated January 14, 2025

Recorded as JENNA KIM

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

2037 Dauntless Dr

Glenview, IL 600266811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.