Active NPI
Sarah Y Kwon, PA-C
- Physician Assistant
- Valley Stream, NY
National Provider Identifier
1407617129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1215894
- Practice address
- 70 E Sunrise Hwy Ste 515W
Valley Stream, NY 11581-1233 - Phone
- (516) 663-1365
- Fax
- (516) 710-7685
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1215894 | PA | Primary |
Addresses
Primary practice location
70 E Sunrise Hwy Ste 515W
Valley Stream, NY 11581-1233
Mailing address
129 37TH St Apt 705
Union City, NJ 07087-5987
Phone (484) 649-2927
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Drexel University College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Grand Ave
Suite 201
Englewood, NJ 07631-4363
Phone (201) 944-3800
243 Chestnut St
Suite 3
Newark, NJ 07105-6501
Phone (973) 522-0300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1215894 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Pediatrics, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Englewood, NJ
- NPI 1679700868
-
- Pediatrics Physician
- Clark, NJ
- NPI 1093186702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1407617129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 37TH ST APT 705",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070875987",
"telephone_number": "484-649-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 E SUNRISE HWY STE 515W",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811233",
"telephone_number": "516-663-1365",
"fax_number": "516-710-7685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "SARAH",
"middle_name": "Y",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-19",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "1215894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.
- 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.