Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Sung Jo Kim, MD

Nephrology Physician in East Patchogue, NY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477538908

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Registry record

Entity type Individual (Type 1)

Name Sung Jo Kim

Credential MD

Sex Male

Practice address 260 Patchogue Yaphank Rd, Ste F, East Patchogue, NY, 11772

Phone (631) 654-8755

Fax (631) 654-8709

Enumeration date Dec 7, 2005

Last updated in NPPES Apr 28, 2008

Taxonomy & licenses

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License 121585 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
W38231	Other	-	MEDICARE GROUP NUMBER
00228217	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Sung Jo Kim?

Sung Jo Kim is registered in NPPES with the primary taxonomy of Nephrology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-28.