Jason Kim, MD
Jason Kim, MD is an Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician in Stony Brook, NY, registered under NPI 1275707846. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is DEPARTMENT OF UROLOGY HSC 9 STONY BROOK UNIVERSITY MEDICAL CENTER, Stony Brook, NY 11794. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 261117 | NY | Urogynecology and Reconstructive Pelvic… primary |
| 261117 | NY | Urology Physician |
This provider holds licence 261117 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Urology
- PAC ID
- 3577619634
- Enrollment ID
- I20110812000293
Medicare enrolment is recorded as approved under the provider type Practitioner - Urology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Urogynecology and Reconstructive Pelvic Surgery covers
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. NUCC Health Care Provider Taxonomy, code 2088F0040X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2088F0040X | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Urogynecology and Reconstructive Pelvic Surgery | 261117 | NY | primary |
| 208800000X | Urology Physician | 261117 | NY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1275707846 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 15, 2008 |
| Last updated | Mar 25, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | MD |
| Practice address |
DEPARTMENT OF UROLOGY HSC 9 STONY BROOK UNIVERSITY MEDICAL CENTER Stony Brook, NY 11794 (631) 444-1916 Fax (631) 444-7620 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 7 | 5 | 7 | 0 | 7 | 8 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 5 | 5 | 5 | 0 | 5 | 8 | 8 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.