Alan Fay Kwon, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA06190300 Issued in NJ

Practice address

542 Lippincott Dr
Marlton, NJ 08053-4806

Phone

(856) 797-9600

Fax

(856) 797-9601

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain Management

Education

University of California, San Francisco School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDDFBD/Endpoint/FDDFBD
• Direct secure messaging: alan.kwon.1@21449.direct.athenahealth.com

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.

• Premier Brain and Spine, LLC

  dba Redefine Healthcare

  • Neurological Surgery Physician
  • Union, NJ
  • NPI 1922771377
  Medicare reassignment Care Compare group NPD
• Freeman Pain Institute PA

  dba Redefine Healthcare

  • Physical Medicine & Rehabilitation Physician
  • Union, NJ
  • NPI 1689770539
  Medicare reassignment NPD
• Premier Brain and Spine LLC

  dba Redefine Healthcare

  • Durable Medical Equipment & Medical Supplies
  • Shrewsbury, NJ
  • NPI 1427944156
  NPD
• Clinical Pain Management Associates, PC

  • Pain Medicine Physician
  • Fairless Hills, PA
  • NPI 1265488308
  NPD (past)
• Delaware Valley Anesthesia Associates, PC

  • Anesthesiology Physician
  • Fairless Hills, PA
  • NPI 1861446478
  NPD (past)
• Valley Back & Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Huntingdon Valley, PA
  • NPI 1417904319
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1043224108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534806",
            "telephone_number": "856-797-9600",
            "fax_number": "856-797-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Eves Dr",
            "address_2": "Suite 170",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080533130",
            "country_code": "US",
            "telephone_number": "856-797-9600",
            "fax_number": "856-797-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "ALAN",
        "middle_name": "FAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA06190300",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD055058L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0868267000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Alan.Kwon.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "542 Lippincott Dr",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080534806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph W. Krotec, MD
• Jennifer Krott, OT
• Amit P Kurani, MD
• Oumar Kuzbari, M.D.
• KW Rehab LLC
• Lan Kycia
• Kyle Miceli LLC
• Elizabeth Joan Lafferty, OTR/L
• Alexandra Lahurd, PA-C
• Morgan Ellyse Lake, NP

• Pain Medicine (Anesthesiology) Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.