Individual provider Active NPI

Julie H Kang, DO

  • Obstetrics & Gynecology Physician
  • Hollywood, FL
National Provider Identifier
1356330088
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0S5582 Issued in FL
Practice address
1150 N 35TH Ave Ste 245
Hollywood, FL 33021-5424
Phone
(954) 265-2740
Fax
(954) 275-2745
NPI assigned
Oct 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0S5582 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 245
Hollywood, FL 33021-5424

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

4105 Pembroke Rd
Hollywood, FL 33021-8103
Phone (954) 265-8150

Other practice location 2

3501 Johnson St Fl 2
Hollywood, FL 33021-5421
Phone (954) 265-3441

Other identifiers 1

IdentifierTypeStateIssuer
020977800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20050701000359 FL Practitioner - Obstetrics/Gynecology 1153367941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, shared by 55 NPIs, 659 clinicians

Practice addresses (Care Compare)

1150 N 35 Ave
Hollywood, FL 33021-5424

1150 N 35TH Ave
Hollywood, FL 33021-5431

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-9976

4105 Pembroke Rd
Hollywood, FL 33021-8103
Phone (954) 265-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0S5582FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jun 1, 2021 Accepting new patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District CurrentSince Jul 1, 2021 Accepting new patients
South Broward Hospital District Obstetrics & Gynecology CurrentSince Jun 1, 2021 Accepting new patients
North Brevard Medical Support, Inc Past Accepting new patients
University of Miami Obstetrics & Gynecology Past Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

3501 Johnson St
Fl 2
Hollywood, FL 33021
Phone (954) 265-3441

1150 N 35th Ave
Ste 245
Hollywood, FL 33021
Phone (954) 265-2740

4105 Pembroke Rd
Hollywood, FL 33021
Phone (954) 985-1551

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jkang6507@mhsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1356330088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 245",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-265-2740",
            "fax_number": "954-275-2745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Pembroke Rd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218103",
            "country_code": "US",
            "telephone_number": "954-265-8150",
            "fax_number": "954-985-2294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Johnson St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215421",
            "country_code": "US",
            "telephone_number": "954-265-3441",
            "fax_number": "954-368-0195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "JULIE",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-15",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "0S5582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020977800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.