Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023469236

Carlos Kim is a Hospitalist in Patchogue, New York. Graduated from Nova Southeastern Univ College of Dental Medicine in 2016, 10 years ago. Practices with Southwest Suffolk Medical PC, a 200-clinician group and accepts Medicare assignment.

Years since qualifying
10
Trained at
Nova Southeastern Univ College of Dental Medicine
In the registry since
2016
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Practice location Address checks out

101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (631) 654-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1023469236
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2016
Last updated in NPPESJune 29, 2016
Mailing address101 Hospital Rd, Patchogue, NY 11772-4870

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesFAMILY PRACTICE
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2016 (10 years in practice)
Group practice Southwest Suffolk Medical Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Patchogue