Active NPI
Kelvin Ming-Tak Kwong, M.D.
- Pediatric Otolaryngology Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 25MA09318800
- Practice address
- 10 Plum St
8TH Floor
New Brunswick, NJ 08901-2065 - Phone
- (732) 235-5530
- NPI assigned
- Jun 25, 2007
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 25MA09318800 | NJ | |
| Pediatric Otolaryngology Physician | 207YP0228X | 25MA09318800 | NJ | Primary |
Addresses
Primary practice location
10 Plum St
8TH Floor
New Brunswick, NJ 08901-2065
Mailing address
10 Plum St FL 8
New Brunswick, NJ 08901-2066
Phone (732) 235-5530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Plum St
New Brunswick, NJ 08901-2065
Phone (732) 235-5590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09318800 | NJ | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients |
Locations
10 Plum St
Fl 5
New Brunswick, NJ 08901
Phone (732) 235-5530
125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756
10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333
10 Plum St
Fl 8
New Brunswick, NJ 08901
Phone (732) 235-5530
Interoperability endpoints
- kkwong17329@epicdirect.rwjbh.org
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.
-
- Urology Physician
- New Brunswick, NJ
- NPI 1710012604
-
- Pediatric Surgery Physician
- New Brunswick, NJ
- NPI 1487736146
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New Brunswick, NJ
- NPI 1831262468
-
- Durable Medical Equipment & Medical Supplies
- Neptune, NJ
- NPI 1861290744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1184820201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PLUM ST FL 8",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012066",
"telephone_number": "732-235-5530",
"fax_number": "732-235-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PLUM ST",
"address_2": "8TH FLOOR",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012065",
"telephone_number": "732-235-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWONG",
"first_name": "KELVIN",
"middle_name": "MING-TAK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "25MA09318800",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NJ",
"license": "25MA09318800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.