Active NPI
Kanghan Medical Services, P.C.
- Family Medicine Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 219561
- Legal business name
- KANGHAN MEDICAL SERVICES, P.C.
- Practice address
- 19214 Northern Blvd Ste 2D
Flushing, NY 11358-2955 - Phone
- (718) 762-3240
- NPI assigned
- May 3, 2007
- Last updated
- Jun 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Byung C Kang, D.O.
- Title
- President
- Phone
- (718) 762-3240
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 219561 | NY | Primary |
Addresses
Primary practice location
19214 Northern Blvd Ste 2D
Flushing, NY 11358-2955
Mailing address
19214 Northern Blvd # 2D
Flushing, NY 11358-2955
Phone (718) 762-3240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02245623 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1011011 | Kanghan Medical Services PC | Certificate of waiver | Mar 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
19214 Northern Blvd
#2D
Flushing, NY 11358
Phone (718) 762-3240
19214 Northern Blvd
Ste 2D
Flushing, NY 11358
Phone (718) 762-3240
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FAACBD
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Flushing, NY
- NPI 1760484687
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1154580843
-
- Foot & Ankle Surgery Podiatrist
- Cedarhurst, NY
- NPI 1134576010
-
- Nurse Practitioner
- Flushing, NY
- NPI 1538555743
-
- Medical Physician Assistant
- Flushing, NY
- NPI 1346515780
-
- Family Nurse Practitioner
- Flushing, NY
- NPI 1154106813
-
- Family Medicine Physician
- Snellville, GA
- NPI 1003879404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1356553549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19214 NORTHERN BLVD # 2D",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113582955",
"telephone_number": "718-762-3240",
"fax_number": "855-770-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19214 NORTHERN BLVD STE 2D",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113582955",
"telephone_number": "718-762-3240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANGHAN MEDICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "BYUNG",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-762-3240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "219561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02245623",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.