Organization Active NPI

Kanghan Medical Services, P.C.

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1356553549
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
219561 Issued in NY
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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.NPI 1760484687
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02245623MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102001184 NY Part B Supplier - Clinic/Group Practice 6305862715 Receives reassigned benefits from 5 practitioners
Practice locations: Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1011011Kanghan Medical Services PC19214 Northern Blvd #2D, Flushing, NY 11358Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.