LONG ISLAND KIDNEY PHYSICIANS PLLC NPI 1538100631

NPI Information

  • NPI: 1538100631
  • Provider Name: LONG ISLAND KIDNEY PHYSICIANS PLLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 33 WALT WHITMAN RD
    SUITE 235
    HUNTINGTON STATION, NY
    ZIP 11746
  • Phone: (635) 549-1480

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NPI Details

LONG ISLAND KIDNEY PHYSICIANS PLLC is a nephrology internal medicine in Huntington Station, NY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. LONG ISLAND KIDNEY PHYSICIANS PLLC NPI is 1538100631. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33 WALT WHITMAN RD
SUITE 235
HUNTINGTON STATION, NY
ZIP 11746
Phone: (635) 549-1480
Fax: (631) 549-2511

The provider's authorized official is Suk-hyeon Yun .
The authorized official title is Partner and has the following contact phone number (631) 549-1480.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 8/22/2020.

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
1207RN0300XInternal MedicineNephrologyYes

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
102299470MEDICAIDNEW YORK

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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