Eun Jung Kwak, N.P

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F303368 Issued in NY

Practice address

21 Lockhern Dr
Livingston, NJ 07039-6224

Phone

(646) 229-8344

NPI assigned

Jan 18, 2010

Last updated

Jan 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1386975118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LOCKHERN DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070396224",
            "telephone_number": "646-229-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOCKHERN DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070396224",
            "telephone_number": "646-229-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "EUN JUNG",
        "name_prefix": "Mrs.",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Kupperman, LCSW
• Charles Michael Kurtzer, DPM
• Lisa Beth Kurz, MD
• Irwin Lawrence Kutash, PHD
• Cori Kutzin, APN, CRNA
• Britt Lacher, MD
• Leigh J Lachman, MD
• Joanna Ferrer Ladaran
• Mark Laible, M.D.
• Sonali Lalwani, PT, DPT

• Adult Health Nurse Practitioner in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.