Individual provider Active NPI

Hyun Min Jang

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1487365714
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
16 New Scotland Ave FL 3
Albany, NY 12208-3504
Phone
(949) 910-3144
NPI assigned
Dec 7, 2022
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

16 New Scotland Ave FL 3
Albany, NY 12208-3504

Mailing address

163 Morris St Apt 34
Albany, NY 12208-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20250822001068 CA Practitioner - Physician Assistant 5496255614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians
Ellison Medical Group Vein Treatment CenterGroup PAC ID 3274898275, 10 clinicians

Practice addresses (Care Compare)

1905 Calle Barcelona
Suite 211
Carlsbad, CA 92009-8452
Phone (858) 766-6007

3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855

3900 5TH Ave
Suite 110
San Diego, CA 92103-3122
Phone (858) 554-1212

7677 Ctr Ave
Suite 310
Huntington Beach, CA 92647-9119
Phone (669) 295-0501

7855 Ivanhoe Ave
Suite 110
La Jolla, CA 92037-4507
Phone (858) 869-0188

9850 Genesee Ave
La Jolla, CA 92037-1208
Phone (858) 864-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64756CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellison Medical Group Vein Treatment Center CurrentSince Oct 1, 2025 Accepting new patients

Locations

7677 Center Ave
Ste 310
Huntington Beach, CA 92647
Phone (669) 295-0501

4482 Barranca Pkwy
Ste 252
Irvine, CA 92604
Phone (669) 201-0667

1525 Superior Ave
Ste 202
Newport Beach, CA 92663
Phone (669) 295-0501

244 Madison Ave
#1120
New York, NY 10016
Phone (301) 523-8458

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1487365714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 MORRIS ST APT 34",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 NEW SCOTLAND AVE FL 3",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083504",
            "telephone_number": "949-910-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "HYUN MIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.