DR. JASON MICHAEL KIM (NPI# 1275707846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275707846 |
| Entity Type | Individual |
| Full Name | DR. JASON MICHAEL KIM |
| Credential | MD |
| Practice Address |
Department of Urology Hsc 9 Stony Brook University Medical Center Stony Brook NY 11794-7148 |
| Practice Telephone | 6314441916 |
| Practice Fax Number | 6314447620 |
| Mailing Telephone | 6314441916 |
| Mailing Fax Number | 6314447620 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2011-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 261117 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467913863 | Jason Donghyun Kim | Dentist | 542 New York Ave, Lyndhurst, NJ 07071-1532 | 2019-03-28 |
| 1023474921 | Jason Kim | Chiropractor | 2035 Royal Ln Ste 200, Dallas, TX 75229-7206 | 2016-01-07 |
| 1952785735 | Jason Kim | Dentist | 616 Virginia Beach Blvd Ste 102, Virginia Beach, VA 23451-4274 | 2015-07-12 |
| 1871904045 | Jason Kim | Chiropractor | 11900 Ne 1st St, Suite 300, Bellevue, WA 98005-3046 | 2014-05-09 |
| 1629302138 | Jason Kim | Dentist | 2220 Smokewood Ave, Fullerton, CA 92831-1107 | 2009-09-30 |
| 1245451772 | Jason Jongwoon Kim | Acupuncturist | 16303 S. Western Ave., Suite 9, Gardena, CA 90247-4674 | 2007-05-01 |
| 1790793750 | Jason Kim | Dentist | 144-48 Roosevelt Ave, Ste Md-b, Flushing, NY 11354 | 2006-08-04 |
| 1013903475 | Jason Myungjoon Kim | Pharmacist | 8227 Woodman Ave, Panorama City, CA 91402-5426 | 2005-09-21 |
| 1205837945 | Jason S Kim | Pharmacist | 12724 Sagamore Rd, Leawood, KS 66209 | 2005-08-03 |
| 1205440104 | Jason Kim | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-08 |
| Street Address |
DEPARTMENT OF UROLOGY HSC 9 STONY BROOK UNIVERSITY MEDICAL CENTER |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-7148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649591777 | David Micahel Golombos | Urology | Suny Stony Brook Health Sciences Ctr, Stony Brook, NY 11794-2012 | 2010-06-11 |
| 1528202835 | Steven J Weissbart | Urology | Stony Brook Department of Urology Hsc 9, Stony Brook, NY 11794-0989 | 2009-04-30 |
| 1891959292 | Anthony Thomas Corcoran | Urology | Department of Urology Hsc9 Room 040, Stony Brook University Hospital, Stony Brook, NY 11794-8093 | 2008-07-15 |
| 1962522318 | Massimiliano Spaliviero | Urology | Hsc Level 9 Urology, Room 040, Stony Brook, NY 11794-8093 | 2007-03-30 |
| 1548234156 | Albert N Kim | Urology | 2500 Nesconset Hwy Bldg 21a, Stony Brook, NY 11790-2598 | 2006-02-13 |
| 1184068520 | William Travis Berg | Urology | 101 Nicolls Road, Hsc T9-040, Stony Brook, NY 11794 | 2013-04-27 |
| 1467622266 | A Kim Medical PC | Urology | 2500 Nesconset Hwy, Building 21a, Stony Brook, NY 11790-2555 | 2008-03-07 |
| 1831138049 | Daniel Han | Urology | 2500 Nesconset Hwy, Building 21a, Stony Brook, NY 11790-2555 | 2006-06-05 |
| 1558334342 | Albert Kim, Md,pc | Urology | 2500 Nesconset Hwy, Bldg #21 Ste 6, Stony Brook, NY 11790-2555 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on DR. JASON MICHAEL KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.