Misook Kim
NPI 1205905056 · Physician Assistant · Port Jefferson, NY
Misook Kim is a Physician Assistant provider in Port Jefferson, NY (NPI 1205905056).
Provider details
- NPI number
- 1205905056
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 009693 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2015-10-22
Frequently asked questions
- What is Misook Kim's NPI number?
- Misook Kim's National Provider Identifier (NPI) is 1205905056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Misook Kim's specialty?
- Misook Kim is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Misook Kim located?
- Misook Kim's practice location on file with NPPES is 75 N Country Rd, Port Jefferson, NY 11777-2119.
- What is Misook Kim's phone number?
- The practice phone number listed in the NPPES registry for Misook Kim is (631) 473-1320.
- Is Misook Kim's NPI active?
- Yes — Misook Kim's NPI (1205905056) is active in the NPPES registry as of the last update on 2015-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.