Organization Active NPI

Albert Kim, MD,PC

  • Urology Physician
  • Stony Brook, NY
National Provider Identifier
1558334342
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1676611 Issued in NY
Legal business name
ALBERT KIM, MD,PC
Practice address
2500 Nesconset Hwy
BLDG #21 Ste 6
Stony Brook, NY 11790-2555
Phone
(631) 751-4000
Fax
(631) 246-6176
NPI assigned
Feb 10, 2006
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Albert N Kim, M.D.NPI 1548234156
Title
Owner
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)CodeLicenseStatePrimary
Urology Physician 208800000X 1676611 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy
BLDG #21 Ste 6
Stony Brook, NY 11790-2555

Mailing address

2500 Nesconset Hwy
BLDG #21 Ste 76
Stony Brook, NY 11790-2555
Phone (631) 751-4000

National Provider Directory

National Provider Directory

Locations

2500 Nesconset Hwy
Bldg 21A
Stony Brook, NY 11790
Phone (631) 751-4000

2500 Route 347
Bldg 21
Stony Brook, NY 11790
Phone (631) 751-4000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1558334342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG #21 STE 76",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "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": "BLDG #21 STE 6",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-4000",
            "fax_number": "631-246-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT KIM, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-751-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "1676611",
            "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 Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.