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

Dr. Dave Sungsoo Kim, MD

Individual provider Geriatric Psychiatry Physician · NPI 1831456631

Dr. Dave Sungsoo Kim, MD is a Psychiatry in Glen Oaks, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2011, 15 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7559 263rd St
Glen Oaks, NY 11004-1150
Phone: (718) 470-8210
Fax: (718) 831-0368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 272769 (NY)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 272769 (NY)

Record details

NPI number1831456631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2012
Last updated in NPPESApril 30, 2018

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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