Active NPI
Minjung Kang, N.P
- Family Nurse Practitioner
- Dobbs Ferry, NY
National Provider Identifier
1487901971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F337538-1
- Practice address
- 30 Beacon Hill Drive Apt 9Ab1
Dobbs Ferry, NY 10522-0000 - Phone
- (201) 725-5959
- NPI assigned
- Aug 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F337538-1 | NY | Primary |
Addresses
Primary practice location
30 Beacon Hill Drive Apt 9Ab1
Dobbs Ferry, NY 10522-0000
Mailing address
30 Beacon Hill Dr Apt 9Ab1
Dobbs Ferry, NY 10522-2410
Phone (201) 725-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F337538-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1487901971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BEACON HILL DR APT 9AB1",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105222410",
"telephone_number": "201-725-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BEACON HILL DRIVE APT 9AB1",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105220000",
"telephone_number": "201-725-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "MINJUNG",
"credential": "N.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F337538-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dobbs Ferry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.