Active NPI
A Kim Medical PC
- Urology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 167661-1
- Legal business name
- A KIM MEDICAL PC
- Practice address
- 2500 Nesconset Hwy
Building 21a
Stony Brook, NY 11790-2555 - Phone
- (631) 751-4000
- Fax
- (631) 246-6176
- NPI assigned
- Mar 7, 2008
- Last updated
- Aug 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert N Kim, MD
- Title
- President
- Phone
- (631) 751-4000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 167661-1 | NY | Primary |
Addresses
Primary practice location
2500 Nesconset Hwy
Building 21a
Stony Brook, NY 11790-2555
Mailing address
PO Box 29066
New York, NY 10087-9066
Phone (631) 751-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1078647 | A Kim Medical PC | Compliance | Oct 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Stony Brook, NY
- NPI 1548234156
-
- Anatomic Pathology & Clinical Pathology Physician
- Westbury, NY
- NPI 1346488046
-
- Anatomic Pathology & Clinical Pathology Physician
- Bellerose, NY
- NPI 1588663355
-
- Anatomic Pathology & Clinical Pathology Physician
- West Islip, NY
- NPI 1215929781
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1609191055
-
- Anatomic Pathology & Clinical Pathology Physician
- Uniondale, NY
- NPI 1740312818
-
- Urology Physician
- Stony Brook, NY
- NPI 1831138049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249344000000",
"number": "1467622266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29066",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100879066",
"telephone_number": "631-751-4000",
"fax_number": "631-246-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY",
"address_2": "BUILDING 21A",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902555",
"telephone_number": "631-751-4000",
"fax_number": "631-246-6176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A KIM MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-07",
"last_updated": "2009-08-04",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-751-4000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "167661-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.