NPIMap

Individual provider Active NPI

Katherine E Kang, MD

  • Obstetrics & Gynecology Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1356374631
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA07438800 Issued in NJ
Practice address
464 Hudson Terrace
2ND Floor
Englewood Cliffs, NJ 07632
Phone
(201) 567-7725
Fax
(201) 567-5255
NPI assigned
Jul 9, 2006
Last updated
Feb 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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 25MA07438800 NJ Primary

Addresses

Primary practice location

464 Hudson Terrace
2ND Floor
Englewood Cliffs, NJ 07632

Mailing address

464 Hudson Terrace
2ND Floor
Englewood Cliffs, NJ 07632
Phone (201) 567-7725

Other identifiers 1

IdentifierTypeStateIssuer
9109102MedicaidNJ

Other names 1

  • Katherine E Lee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204000155 NJ Practitioner - Obstetrics/Gynecology 1951206846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albert Einstein College of Medicine of Yeshiva University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 Palisade Ave
Fort Lee, NJ 07024-6329
Phone (201) 917-5258

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gene Medical Group, LLC Obstetrics & Gynecology CurrentSince Nov 28, 2012 Accepting new patients
Pascack Valley Hospital Past Accepting new patients
University Group Medical Associates, P.C Obstetrics & Gynecology Past Accepting new patients
Closter Internal Medicine, P.C. Past Accepting new patients
Pascack Valley Medical Care PC Past Accepting new patients
Pascack Valley Hospital Past Accepting new patients

Locations

464 Hudson Ter
Ste 203
Englewood Cliffs, NJ 07632
Phone (201) 567-0005

1101 Palisade Ave
Fort Lee, NJ 07024
Phone (201) 224-8477

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1356374631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TERRACE",
            "address_2": "2ND FLOOR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-567-7725",
            "fax_number": "201-567-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TERRACE",
            "address_2": "2ND FLOOR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-567-7725",
            "fax_number": "201-567-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07438800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9109102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LEE",
            "middle_name": "E",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Englewood Cliffs, NJ

Sources for this page

Verify at the official NPI Registry.