Active NPI
Kesang Chodon
- Cardiac Rehabilitation Registered Nurse
- Woodside, NY
National Provider Identifier
1194517193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiac Rehabilitation Registered Nurse
- License
- 934360-01
- Practice address
- 5138 65TH PL
Woodside, NY 11377-5858 - Phone
- (917) 344-0969
- NPI assigned
- May 19, 2025
- 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 |
|---|---|---|---|---|
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | 934360-01 | NY | Primary |
Addresses
Primary practice location
5138 65TH PL
Woodside, NY 11377-5858
Mailing address
5138 65TH PL
Woodside, NY 11377-5858
Phone (917) 344-0969
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 934360-01 | NY | MD | Cardiac Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1194517193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5138 65TH PL",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775858",
"telephone_number": "917-344-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5138 65TH PL",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775858",
"telephone_number": "917-344-0969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHODON",
"first_name": "KESANG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC3500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Cardiac Rehabilitation",
"state": "NY",
"license": "934360-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.