Kang Yeon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40AQ02288200 Issued in NJ

Practice address

2050 Center Ave
Fort Lee, NJ 07024-4996

Phone

(201) 585-7300

NPI assigned

Sep 30, 2024

Sex

Male

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Lee Physical Therapy PCGroup PAC ID 4880747195, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Fort Lee Physical Therapy, P.C.

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1003050436

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1467270488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E HARRIET AVE",
            "city": "PALISADES PK",
            "state": "NJ",
            "postal_code": "076501417",
            "telephone_number": "551-579-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CENTER AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244996",
            "telephone_number": "201-585-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEON",
        "first_name": "KANG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40AQ02288200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yc Wellness Center
• Lisa Yee, SLP
• Sharon Yee, MD
• Vivian Ming-Wei Yeh, D.D.S, M.S.
• Jeehoon Yeo
• Myong Yi
• Hannah Yim, PHARM.D
• Jun John Yoo, DDS
• Minjae Yoo
• Francisca Eunsook Yoon, NP

• Physical Therapist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.