Pauline Kahng, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003147 Issued in NY

Practice address

275 Route 30 N
Bomoseen, VT 05732-9647

Phone

(802) 773-3386

NPI assigned

May 23, 2005

Last updated

Jun 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Community Health Centers of the Rutland Region, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bomoseen, VT
  • NPI 1336193838
  Medicare reassignment NPD
• Community Health Centers of the Rutland Region Inc

  dba Community Health North Main St

  • Federally Qualified Health Center (FQHC)
  • Rutland, VT
  • NPI 1518613215
  NPD
• Gloria Fuina Darrah Rpa

  • Family Medicine Physician
  • Greenville, NY
  • NPI 1831319458
  NPD (past)
• On Call Medical Services Assoc. LLP

  • General Practice Physician
  • Troy, NY
  • NPI 1477668432
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1396748489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BEAR HOLLOW LN",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120545200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROUTE 30 N",
            "city": "BOMOSEEN",
            "state": "VT",
            "postal_code": "057329647",
            "telephone_number": "802-773-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Grove St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "VT",
            "postal_code": "057339062",
            "country_code": "US",
            "telephone_number": "802-247-6305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Bryants Sq",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NY",
            "postal_code": "120833413",
            "country_code": "US",
            "telephone_number": "518-966-8786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Allen St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014570",
            "country_code": "US",
            "telephone_number": "800-468-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Stratton Rd",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014621",
            "country_code": "US",
            "telephone_number": "802-773-3386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHNG",
        "first_name": "PAULINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Haywood, N.P.
• Andrea R Hubbard Maclauchlan, RPH
• Jayme Hughes, APRN
• JMS Pharmacy Management Inc (Castleton Health Center Pharmacy)
• Erin Joiner, NP
• Stephen S Kornbluth, M.D.
• KPH Healthcare Services, Inc. (Kinney Drugs #98)
• Hannah Mary Kussel, PHARM D
• Lakewood Adult Family Home Inc
• Jessica C Lindert, RN

• Medical Physician Assistant in Bomoseen, VT
• Providers in Bomoseen, VT by specialty
• Medical Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.