Individual provider Active NPI

Kyoung J Son, MD

  • Specialist
  • Rahway, NJ
National Provider Identifier
1376642132
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA43671 Issued in NJ
Practice address
865 Stone St
Rahway, NJ 07065-2742
Phone
(732) 381-6303
NPI assigned
Sep 21, 2006
Last updated
Mar 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA43671 NJ Primary

Addresses

Primary practice location

865 Stone St
Rahway, NJ 07065-2742

Mailing address

3 Waterford CT
Monroe, NJ 08831-4089
Phone (732) 521-1451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050118000127 NJ Practitioner - Anesthesiology 5799755781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 State Route 27
Suite 110
Edison, NJ 08820-3976

2 State Route 27 110
Edison, NJ 08820-3961
Phone (732) 632-8090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA43671NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Edison Medical Care, LLC CurrentSince Jun 1, 2013 Accepting new patients
Terence W Murphy MD PA Past Accepting new patients
Rahway Anesthesiologists, PA Specialist Past Accepting new patients

Locations

2 State Route 27
Ste 110
Edison, NJ 08820
Phone (732) 632-8090

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1376642132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WATERFORD CT",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088314089",
            "telephone_number": "732-521-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 STONE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652742",
            "telephone_number": "732-381-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "KYOUNG",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA43671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.