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SUNG JO KIM MD
NPI 1477538908
Internal Medicine - Nephrology in East Patchogue, NY

Active since December 07, 2005
260 PATCHOGUE YAPHANK RD, STE F, EAST PATCHOGUE, NY 11772(631) 654-8755(631) 654-8709 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sung Jo Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNG JO KIM MD (NPI 1477538908) is an individual nephrology provider in East Patchogue, New York, licensed in New York (121585) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1477538908
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSUNG JO KIMCredential: MD
Location Address260 PATCHOGUE YAPHANK RD, STE FEast Patchogue, NY 11772-4886
Mailing Address260 Patchogue Yaphank Rd, Ste FEast Patchogue, NY 11772-4886 · (631) 654-8755 · Fax (631) 654-8709
Phone(631) 654-8755
Fax(631) 654-8709
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateApril 28, 2008
✔ NPI 1477538908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 121585
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
260 PATCHOGUE YAPHANK RD, East Patchogue, NY 11772
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Other Identifiers 4

Medicaid00228217NY
Medicare UPINC08366
Medicare PIN3196738231
OtherW38231Medicare Group Number

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN SANO M.D.
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD, SUITE C
E PATCHOGUE, NY 11772
Suffolk County (631) 289-0300
JOEL MYLADOOR CHANDY D.O.
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772
Suffolk County (631) 289-0300
CHRISTINA MARIE LA BARBERA NP
Nurse Practitioner (Adult Health)
260 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772
Suffolk County (631) 307-9181
RAHUL BAJAJ M.D.
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD, SUITE C
E PATCHOGUE, NY 11772
Suffolk County (631) 289-0300
DIANE B GAY NP
Nurse Practitioner
260 PATCHOGUE YAPHANK RD
E PATCHOGUE, NY 11772
Suffolk County (631) 289-0300
HOWARD PASTRICH M.D.
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD, SUITE C
E PATCHOGUE, NY 11772
Suffolk County (631) 289-0300
DEAN J BABICH MD
Internal Medicine (Nephrology)
260 PATCHOGUE YAPHANK RD, SUITE F
EAST PATCHOGUE, NY 11772
Suffolk County (631) 654-8755
GREAT SOUTH BAY ENDOSCOPY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
260 PATCHOGUE YAPHANK RD, SUITE C
EAST PATCHOGUE, NY 11772
Suffolk County (631) 307-9181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sung Jo Kim's NPI number?

The NPI number for Sung Jo Kim is 1477538908. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Sung Jo Kim located?

Sung Jo Kim practices at 260 Patchogue Yaphank Rd Ste F, East Patchogue, NY 11772. The listed phone number is (631) 654-8755.

What is Sung Jo Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Sung Jo Kim was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.