Baik Hyun Kang, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

113483 Issued in NY

Practice address

4355 147TH St
Flushing, NY 11355-1736

Phone

(718) 762-7132

Fax

(718) 886-5659

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1265500284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 147TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551736",
            "telephone_number": "718-762-7132",
            "fax_number": "718-886-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 147TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551736",
            "telephone_number": "718-762-7132",
            "fax_number": "718-886-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "BAIK HYUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "113483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00206253",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sang Kan, M.D.
• Tiffany Kandov I
• Kaneda Pharmacy, LLC
• Kang Hua Adult Daycare Center Inc
• Kang Lan Medical PLLC
• Bo-Kwan Kang, PT, DPT
• Byung C. Kang, D.O.
• Christine Kang, M.D., M.H.S., M.S.
• Hea-Shin Kang, M.D.
• Hyejung Kang, DMD

• Diagnostic Radiology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.

Verify at the official NPI Registry.