Active NPI
Ryan H Kwon, D.O.
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 248607
- Practice address
- 380 2ND Ave
New York, NY 10010-5615 - Phone
- (212) 375-1065
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 248607 | NY | Primary |
Addresses
Primary practice location
380 2ND Ave
New York, NY 10010-5615
Mailing address
PO Box 5024
New York, NY 10087-5024
Phone (800) 627-4470
Other practice location 1
2510 30th Ave
Astoria, NY 11102-2448
Phone (800) 627-4470
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248607 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York Anesthesiologists PLLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc | Anesthesiology | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
380 2nd Ave
New York, NY 10010
Phone (212) 253-6600
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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.
-
- Anesthesiology Physician
- New York, NY
- NPI 1508947441
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1235239153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5024",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100875024",
"telephone_number": "800-627-4470",
"fax_number": "412-937-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105615",
"telephone_number": "212-375-1065"
}
],
"practiceLocations": [
{
"address_1": "2510 30th Ave",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111022448",
"country_code": "US",
"telephone_number": "800-627-4470",
"fax_number": "412-937-5710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWON",
"first_name": "RYAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "248607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 30, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.