Kyung H Kim (NPI# 1063687929, PAC ID# 5698797462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UNDEFINED PHYSICIAN TYPE (SPECIFY).
| Nation Provider ID (NPI) | 1063687929 |
| PAC ID by PECOS | 5698797462 |
| Professional Enrollment ID | I20051221000082 |
| Full Name | Kyung H Kim |
| Organization Legal Name | STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION |
| Address |
100 Nicholls Rd Nephrology Stony Brook NY 11794-0001 |
| Phone Number | 6314441560 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | UNDEFINED PHYSICIAN TYPE (SPECIFY) |
| Secondary Specialties | INTERNAL MEDICINE, NEPHROLOGY |
| Group Practice PAC ID | 9133019821 |
| Number of Group Practice Members | 285 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 | 6314441560 | STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION |
| Organization Legal Name | STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION |
| Physicians | 287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narinder Singh | Hospitalist | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Ronak T Shah | Pulmonary Disease | Stony Brook Internists, University Faculty Practice Corporation | 240 Middle Country Rd, Smithtown, NY 11787 |
| Theresa A Aiello | Nurse Practitioner | Stony Brook Internists, University Faculty Practice Corporation | 200 Motor Pkwy, Hauppauge, NY 11788-5100 |
| Nancy A Balkon | Nurse Practitioner | Stony Brook Internists, University Faculty Practice Corporation | 267 E Main St C, Smithtown, NY 11787-2847 |
| Amna F Sher | Medical Oncology | Stony Brook Internists, University Faculty Practice Corporation | 3 Edmond D Pellegrino Rd, Stony Brook, NY 11794-9447 |
| Edward Sun | Gastroenterology | Stony Brook Internists, University Faculty Practice Corporation | 3 Technology Dr, East Setauket, NY 11733-4064 |
| Luis A Marcos-raymundo | Infectious Disease | Stony Brook Internists, University Faculty Practice Corporation | 205 N Belle Mead Rd, Internal Med, East Setauket, NY 11733-3456 |
| Travis J Bench | Cardiovascular Disease (cardiology) | Stony Brook Internists, University Faculty Practice Corporation | 676 County Rd, 39a, Southampton, NY 11968-5241 |
| William E Lawson | Interventional Cardiology | Stony Brook Internists, University Faculty Practice Corporation | 26 Research Way, East Setauket, NY 11733-3526 |
| Andrzej Kudelka | Hematology/oncology | Stony Brook Internists, University Faculty Practice Corporation | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 |
| Street Address |
100 NICHOLLS RD NEPHROLOGY |
| City | STONY BROOK |
| State | NY |
| Zip | 11794-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narinder Singh | Hospitalist | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Ellen Li | Gastroenterology | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Stony Brook, NY 11794-0001 |
| Grace N Latorre | Hospice/palliative Care | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Stony Brook, NY 11794-0001 |
| Munirah Mazhar Hasan | Hospitalist | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Kanwal Farooq | Hospitalist | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Jennifer L Solan | Nurse Practitioner | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Stony Brook, NY 11794-0001 |
| Lorraine Danowski | Registered Dietitian Or Nutrition Professional | Stony Brook Family and Preventive Medicine, University Faculty Practic | 100 Nicholls Rd, Stony Brook, NY 11794-0001 |
| Jasjit S Kochar | Internal Medicine | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Sarah R Pestieau | Hospitalist | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Sara A Khan | Hospitalist | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kartik M Mani | Radiation Oncology | Stony Brook Radiation Oncology, University Faculty Practice Corporatio | Hsp, L2, Stony Brook, NY 11794-0001 |
| Adeeb E Yacoub | Psychiatry | Stony Brook Psychiatric Associates, University Faculty Practice Corpor | 100 Nicolls, 8101 Suny Hsc Lvl Rm 048, Stonybrook, NY 11794-0001 |
| Daryn H Moller | Anesthesiology | Stony Brook Anaesthesiology University Faculty Practice Corporation | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-0001 |
| Nariman S Boyle | Ophthalmology | Stony Brook Ophthalmology, University Faculty Practice Corporation | 101 Nicolls Rd, Stony Brook, NY 11794-0001 |
| William H Vuong | Anesthesiology | Stony Brook Anaesthesiology University Faculty Practice Corporation | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-0001 |
| Patricia M Melville | Nurse Practitioner | Neurology Associates of Stony Brook, University Faculty Practice Corpo | 100 Nicolls Rd, Suny Hsc Level 5 Rm 048, Stony Brook, NY 11794-0001 |
| Mark J Sedler | Psychiatry | Stony Brook Psychiatric Associates, University Faculty Practice Corpor | 100 Nicolls, 8101 Suny Hsc Lvl Rm 048, Stonybrook, NY 11794-0001 |
| Michelle Delemos | Anesthesiology | Stony Brook Anaesthesiology University Faculty Practice Corporation | 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794-0001 |
| Diane L Klein Ritter | Internal Medicine | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Bridget A Nozdrovicky | Physician Assistant | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Stony Brook, NY 11794-0001 |
| Find all physicians in zip 11794 | |||
| City | STONY BROOK |
| Zip Code | 11794 |
| Specialty | UNDEFINED PHYSICIAN TYPE (SPECIFY) |
| City + Specialty | STONY BROOK + UNDEFINED PHYSICIAN TYPE (SPECIFY) |
Please comment or provide details below to improve the information on Kyung H Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.