Active NPI
Ruth Kang, CRNP
- Family Nurse Practitioner
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP020384
- Practice address
- 1088 W Baltimore Pike Ste 2506
Media, PA 19063 - Phone
- (484) 227-8175
- NPI assigned
- Jun 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP020384 | PA | Primary |
Addresses
Primary practice location
1088 W Baltimore Pike Ste 2506
Media, PA 19063
Mailing address
1088 W Baltimore Pike Ste 2506
Media, PA 19063-5166
Phone (484) 227-8175
Other practice location 1
3536 Muirwood Dr
Newtown Square, PA 19073-4442
Phone (610) 505-2755
Other practice location 2
1088 W Baltimore Pike Ste 2506
Media, PA 19063
Phone (484) 227-8175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669
925 Chestnut St
Philadelphia, PA 19107-4204
925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874
Hospital & facility affiliations
- Thomas Jefferson University Hospital
- Jefferson Stratford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Current | Accepting new patients | |
| Jefferson University Physicians | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
1088 W Baltimore Pike
Ste 2506
Media, PA 19063
Phone (484) 227-8175
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
1101 Chestnut St
#8
Philadelphia, PA 19107
Phone (215) 955-5869
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 3
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1174184147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 W BALTIMORE PIKE STE 2506",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635166",
"telephone_number": "484-227-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 W BALTIMORE PIKE STE 2506",
"city": "MEDIA",
"state": "PA",
"postal_code": "19063",
"telephone_number": "484-227-8175"
}
],
"practiceLocations": [
{
"address_1": "3536 Muirwood Dr",
"address_purpose": "LOCATION",
"city": "Newtown Square",
"state": "PA",
"postal_code": "190734442",
"country_code": "US",
"telephone_number": "610-505-2755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1088 W Baltimore Pike Ste 2506",
"address_purpose": "LOCATION",
"city": "Media",
"state": "PA",
"postal_code": "19063",
"country_code": "US",
"telephone_number": "484-227-8175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "RUTH",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP020384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.