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

Sung Jo Kim, MD

Individual provider Nephrology Physician · NPI 1477538908

Sung Jo Kim, MD is a Nephrology Physician in East Patchogue, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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

260 Patchogue Yaphank Rd Ste F
East Patchogue, NY 11772-4886
Phone: (631) 654-8755
Fax: (631) 654-8709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 121585 (NY)

Record details

NPI number1477538908
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESApril 28, 2008
Mailing address260 Patchogue Yaphank Rd, Ste F, East Patchogue, NY 11772-4886

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