Individual provider Active NPI

Yong Kang He

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1174555486
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214116 Issued in NY
Practice address
77 Bowery FL 3F
New York, NY 10002-4955
Phone
(212) 966-8216
Fax
(212) 966-8217
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA069239 NJ
Internal Medicine Physician 207R00000X 214116 NY Primary

Addresses

Primary practice location

77 Bowery FL 3F
New York, NY 10002-4955

Mailing address

351 Walnut St
Livingston, NJ 07039-5011
Phone (212) 966-8216

Other identifiers 1

IdentifierTypeStateIssuer
02023389MedicaidNY

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
I20040322001583 NY Practitioner - Internal Medicine 3779474580 Reassigns benefits to 4 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Four Season Medical PLLCGroup PAC ID 1850666819, 6 clinicians

Practice addresses (Care Compare)

7112 Bay Pkwy
Brooklyn, NY 11204-6016
Phone (718) 680-8881

77 Bowery
FL 3
New York, NY 10002-4955
Phone (212) 966-8216

837 59TH St
Brooklyn, NY 11220-3611

837 59TH St
Brooklyn, NY 11220-5576

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA069239NJMDInternal Medicine Physician
214116NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yong Kang Medical PLLC Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Four Season Medical PLLC Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Juniper Medicine PLLC CurrentSince Jan 1, 2022 Accepting new patients
Evergreen Medical Clinic P.C Internal Medicine CurrentSince Jan 2, 2014 Accepting new patients
Beverwyck Medical Associates, LLC Internal Medicine PastSince Jul 18, 2005 Accepting new patients

Locations

7112 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500

837 59th St
Fl 5
Brooklyn, NY 11220
Phone (646) 532-7746

7116 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500

2041 86th St
Brooklyn, NY 11214
Phone (718) 266-2284

837 59th St
Brooklyn, NY 11220
Phone (718) 975-8415

13620 38th Ave
Ste 707
Flushing, NY 11354

13620 38th Ave
Ste 7J
Flushing, NY 11354
Phone (347) 506-0765

81 Elizabeth St
Rm 301
New York, NY 10013

98 E Broadway
Fl 7
New York, NY 10002
Phone (212) 226-4848

1836 Hylan Blvd
Staten Island, NY 10305
Phone (347) 896-5575

Interoperability endpoints

  • Direct secure messaging: ykhe@1342.mdlanddirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1174555486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 WALNUT ST",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395011",
            "telephone_number": "212-966-8216",
            "fax_number": "212-966-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BOWERY FL 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024955",
            "telephone_number": "212-966-8216",
            "fax_number": "212-966-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "YONG",
        "middle_name": "KANG",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA069239",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02023389",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.