JUNGYOP KIM MD NPI 1427064153

NPI Information

NPI: 1427064153
Provider Name: JUNGYOP KIM, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 101 HOSPITAL RD
E PATCHOGUE, NY
ZIP 11772
Phone: (631) 687-4131

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NPI Details

Jungyop Kim, MD is an internal medicine in E Patchogue, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Jungyop Kim, MD NPI is 1427064153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 HOSPITAL RD
E PATCHOGUE, NY
ZIP 11772-870
Phone: (631) 687-4131
Fax: (631) 654-7376

The NPI 1427064153 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 1/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		214678	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00459752	MEDICARE PIN	NEW YORK
2	01986598	MEDICAID	NEW YORK
3	9Y8651	MEDICARE PIN	NEW YORK
4	H02048	MEDICARE UPIN	NEW YORK
5	02772190	MEDICAID	NEW YORK
6	250SL1	MEDICARE PIN	NEW YORK
7	633AX1	OTHER	NEW YORK	NY EMPIRE BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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