Kwak Family Medicine, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA07662200 Issued in NJ

Legal business name

KWAK FAMILY MEDICINE, PC

Practice address

2301 Evesham Rd
Suite 505
Voorhees, NJ 08043-4506

Phone

(856) 520-8718

Fax

(856) 520-8719

NPI assigned

Mar 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James Jihoon Kwak, M.D.NPI 1578552865

Title

President

Phone

(856) 520-8718

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James J Kwak, M.D.

  • Family Medicine Physician
  • Voorhees, NJ
  • NPI 1578552865
  Medicare reassignment NPD Authorized official
• Urime Osmani, MSN, ANP

  • Adult Health Nurse Practitioner
  • Cherry Hill, NJ
  • NPI 1528446697
  Medicare reassignment NPD

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1386943819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CHANCELLOR DR",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080965158",
            "telephone_number": "856-520-8718",
            "fax_number": "856-520-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 EVESHAM RD",
            "address_2": "SUITE 505",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434506",
            "telephone_number": "856-520-8718",
            "fax_number": "856-520-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWAK FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JIHOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-520-8718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07662200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Iyer Kumar, M.D.
• Brenda R Kurnik, M.D.
• Dale C Kushner, DMD
• Elizabeth Kusturiss, NP
• Jessica K Kutikov, M.D.
• James J Kwak, M.D.
• Sarah Kwon, D.O.
• Sarah Elysse Kym, M.D.
• Joseph D La Motta, M.D.
• Kathryn T Lafferty, MD

• Primary Care Clinic/Center in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.