Active NPI
James Chong Kang
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021346-1
- Practice address
- 1 Gustave L Levy PL
New York, NY 10029-6504 - Phone
- (212) 590-3300
- NPI assigned
- Oct 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00452100 | NJ | |
| Physician Assistant | 363A00000X | 021346-1 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
New York, NY 10029-6504
Mailing address
41 Brownstone Way Apt 207
Englewood, NJ 07631-1211
Phone (310) 404-7900
Other practice location 1
41 Brownstone Way Apt 207
Englewood, NJ 07631-1211
Phone (310) 404-7900
Other practice location 2
150 Washington Ave
Fort Lee, NJ 07024-7826
Phone (310) 404-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627
3556 Broadway
New York, NY 10031-3202
Phone (212) 271-4364
356 W 125TH St
New York, NY 10027-4820
Phone (646) 647-1267
617 W 181St St
New York, NY 10033-4937
Phone (646) 346-7922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021346 | NY | MD | Speech-Language Pathologist |
| 021346-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Friendly Urgent Care, LLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients |
Locations
1428 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 591-1350
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
Interoperability endpoints
- james.kang.1@2983.direct.athenahealth.com
- jkang1593369@nychhc.direct-ci.com
Organizations & group practices 7
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.
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Urgent Care Clinic/Center
- Teaneck, NJ
- NPI 1255843876
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- Astoria, NY
- NPI 1619465721
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093226862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 BROWNSTONE WAY APT 207",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311211",
"telephone_number": "310-404-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504",
"telephone_number": "212-590-3300"
}
],
"practiceLocations": [
{
"address_1": "41 Brownstone Way Apt 207",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "NJ",
"postal_code": "076311211",
"country_code": "US",
"telephone_number": "310-404-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Washington Ave",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070247826",
"country_code": "US",
"telephone_number": "310-404-7900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "JAMES",
"middle_name": "CHONG",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00452100",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021346-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.