Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922723279 Individual Practitioner Female Practitioner

Diane Kim

Physician Assistant • Patchogue, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Diane Kim is a certified Physician Assistant practicing in Patchogue, NY. With approximately 4 years of clinical experience since completing medical education in 2022, Diane Kim delivers high-quality medical care to the local community at 101 HOSPITAL RD.

Diane Kim maintains professional affiliations with City Medical Of Upper East Side Pllc, Summit Medical Group Pa, New York University and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

101 Hospital Rd

Patchogue, NY 117724870

Telephone 6316547100
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Patchogue, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.7 yrs vs City Avg
City Avg: 7.7 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
81 Specialists

Practicing in Patchogue, NY (15701 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (4 Years) 4 Yrs
Patchogue Specialty Average (7.7 Years) 7.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NJ 25MP00996600

Definition to come...

Hospital & Practice Group Affiliations

New York University

111 Broadway, New York, NY 100061901

Phone: 2122639700

City Medical Of Upper East Side Pllc

336 E 86th St, New York, NY 100284615

Phone: 2127723627

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Secondary Practice Locations

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 5167834600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013156934

Doctor of Medicine (M.D.)

Dr. Vaishali Mehta , MD

Internal Medicine - Critical Care Medicine

NPI 1013477132

Doctor of Medicine (M.D.)

Courtney Bofinger , PA

Physician Assistant

NPI 1013496579

Physician Assistant

Annette Pope-Morris , PA

Physician Assistant - Medical

NPI 1023070216

Physician Assistant

Meaghan Chou , PA-C

Physician Assistant

NPI 1033096565

Physician Assistant (Certified)

Austin Budhram , PA-C

Physician Assistant - Medical

NPI 1043108905

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2022

Registered at 101 HOSPITAL RD, PATCHOGUE, NY 117724870 (Tel: 6316547100)

📍
Updated Business Mailing Address October 10, 2022

Registered at 32 ELTONA PL, EAST NORTHPORT, NY 117316012

👤
Provider Name / Credentials Updated October 10, 2022

Recorded as DIANE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922723279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2022
Last Update: March 11, 2026
Sole Proprietor: No

Mailing Address

32 Eltona Pl

East Northport, NY 117316012

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.