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

Ju Eun Kim, DO

Individual provider Internal Medicine Physician · NPI 1871955625

Ju Eun Kim, DO is a Hospitalist in Stony Brook, New York. Qualified in 2016, 10 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-0580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5001 Hardy St, Hattiesburg, MS 39402-1308 — (601) 296-3963

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 297488 (NY)

Record details

NPI number1871955625
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESAugust 13, 2019

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook