Active NPI
Paul Edward Kwak, M.D.
- Otolaryngology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2841111
- Practice address
- 345 E 37TH St
Suite 306
New York, NY 10016-3256 - Phone
- (646) 754-8642
- NPI assigned
- Jul 21, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2841111 | NY | Primary |
Addresses
Primary practice location
345 E 37TH St
Suite 306
New York, NY 10016-3256
Mailing address
345 E 37TH St
Suite 306
New York, NY 10016-3256
Phone (646) 754-8642
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pkwak133827@nyumc.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
171 Delancey St
New York, NY 10002-3411
Phone (929) 455-2600
240 E 38TH St
New York, NY 10016-2708
Phone (212) 263-7300
530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284111 | NY | MD | Licensed Practical Nurse |
| 2841111 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Otolaryngology | Current | Accepting new patients |
Locations
222 E 41st St
Fl 8
New York, NY 10017
Phone (212) 263-7022
345 E 37th St
Rm 306
New York, NY 10016
Phone (212) 682-4711
171 Delancey St
Fl 2
New York, NY 10002
Phone (929) 455-2600
55 E 55th St
New York, NY 10022
Phone (212) 750-9095
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- pkwak678024@nychhc.direct-ci.com
- pkwak133827@nyumc.direct-ci.com
Organizations & group practices 2
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 NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Otolaryngology
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- Rehabilitation Hospital Unit
- Brooklyn, NY
- NPI 1437523537
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1659470276
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1184937914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E 37TH ST",
"address_2": "SUITE 306",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163256",
"telephone_number": "646-754-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E 37TH ST",
"address_2": "SUITE 306",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163256",
"telephone_number": "646-754-8642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAK",
"first_name": "PAUL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-21",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "2841111",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pkwak133827@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "345 E 37th St",
"address_2": "Suite 306",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100163256",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 16, 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.