Tae Y Kang, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

3834 Parsons Blvd # 1a
Flushing, NY 11354-5843

Phone

(718) 762-3240

Fax

(718) 732-3039

NPI assigned

Mar 19, 2012

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Kanghan Medical Services, P.C.

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1356553549
  Medicare reassignment

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1346515780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 PARSONS BLVD # 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545843",
            "telephone_number": "718-762-3240",
            "fax_number": "718-732-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 PARSONS BLVD # 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545843",
            "telephone_number": "718-762-3240",
            "fax_number": "718-732-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "TAE",
        "middle_name": "Y",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seongrak Kang
• Seongshik Kang, MS PT LAC
• Shin Kang
• Sujin Kang
• Sung Han Kang, MD
• Weon Hi Kang, NP
• Xiaoxu Kang, RN
• Kanghan Medical Services, P.C.
• Rachna Kanthariya, PTA
• Esther Kantor

• Medical Physician Assistant in Flushing, NY
• Providers in Flushing, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.