Individual provider Active NPI

Kyung Hae Hwang, PHD CCC-SLP

  • Speech-Language Pathologist
  • Fort Lee, NJ
National Provider Identifier
1003168584
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020839 Issued in NY
Practice address
2460 Lemoine Ave Ste 502
Fort Lee, NJ 07024-6210
Phone
(201) 419-6114
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00828000 NJ
Speech-Language Pathologist 235Z00000X 020839 NY Primary

Addresses

Primary practice location

2460 Lemoine Ave Ste 502
Fort Lee, NJ 07024-6210

Mailing address

2460 Lemoine Ave Ste 502
Fort Lee, NJ 07024-6210
Phone (201) 419-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518000795 NJ Practitioner - Qualified Speech Language Pathologist 8628367521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2460 Lemoine Ave
Suite 502
Fort Lee, NJ 07024-6210
Phone (201) 419-6114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
41YS00828000NJMDSpeech-Language Pathologist
020839NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Italk Speech & Language Center Speech-Language Pathologist CurrentSince Mar 5, 2016 Accepting new patients
Italk Speech Language Pathology PLLC Speech-Language Pathologist CurrentSince Mar 26, 2023 Accepting new patients

Locations

2460 Lemoine Ave
Ste 502
Fort Lee, NJ 07024
Phone (201) 419-6114

150 Greenwich St
Ste 2978
New York, NY 10007
Phone (201) 419-6114

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1003168584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE STE 502",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246210",
            "telephone_number": "201-419-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE STE 502",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246210",
            "telephone_number": "201-419-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "KYUNG HAE",
        "credential": "PHD CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00828000",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.