Active NPI
Doohwan Kang
- Pediatric Occupational Therapist
- Astoria, NY
National Provider Identifier
1144737404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 2707 8TH St
Astoria, NY 11102-4218 - Phone
- (718) 721-3960
- NPI assigned
- Jan 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
2707 8TH St
Astoria, NY 11102-4218
Mailing address
22417 69TH Ave Apt a
Oakland Gardens, NY 11364-2731
Phone (347) 835-2001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1144737404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22417 69TH AVE APT A",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113642731",
"telephone_number": "347-835-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 8TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024218",
"telephone_number": "718-721-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "DOOHWAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.