Individual provider Active NPI

Jun Kang

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1043469042
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
259610 Issued in NY
Practice address
818 55TH St FL 1
Brooklyn, NY 11220-3213
Phone
(718) 972-6868
Fax
(718) 972-2588
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 259610 NY Primary

Addresses

Primary practice location

818 55TH St FL 1
Brooklyn, NY 11220-3213

Mailing address

818 55TH St FL 1
Brooklyn, NY 11220-3213
Phone (718) 972-6868

Other practice location 1

1947 86th St Fl 1
Brooklyn, NY 11214-3103
Phone (718) 372-7700

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110505000249 NY Practitioner - Family Practice 9537344601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

824 55TH St
Suite 1
Brooklyn, NY 11220-3245
Phone (718) 972-6868

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259610NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Medical, PC Family Medicine CurrentSince Jan 16, 2012 Accepting new patients
Essence Medical PLLC Family Medicine CurrentSince Jan 24, 2021 Accepting new patients
Kings Physician Services, PC Past Accepting new patients
Park Slope Medical Service PC Past Accepting new patients

Locations

1947 86th St
#1
Brooklyn, NY 11214
Phone (718) 372-7700

824 55th St
Ste 1
Brooklyn, NY 11220
Phone (718) 435-1025

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1043469042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 55TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203213",
            "telephone_number": "718-972-6868",
            "fax_number": "718-972-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 55TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203213",
            "telephone_number": "718-972-6868",
            "fax_number": "718-972-2588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 86th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112143103",
            "country_code": "US",
            "telephone_number": "718-372-7700",
            "fax_number": "718-372-7707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "JUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "259610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.