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

Dr. Jason Michael Kim, MD

Individual provider Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · NPI 1275707846

Dr. Jason Michael Kim, MD is an Urology in Stony Brook, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2003, 23 years ago. Practices with Stony Brook Urology University Faculty Practice Corporation, a 37-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
23
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2008
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

Department Of Urology Hsc 9 Stony Brook University Medical Ctr
Stony Brook, NY 11794-7148
Phone: (631) 444-1916
Fax: (631) 444-7620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (primary) Taxonomy 2088F0040X · Licence 261117 (NY)
Urology Physician Taxonomy 208800000X · Licence 261117 (NY)

Record details

NPI number1275707846
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2008
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Stony Brook Urology University Faculty Practice Corporation — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Stony Brook