Individual provider Active NPI

Pei-Jen Hwang, M.D.

  • Anesthesiology Physician
  • Monterey Park, CA
National Provider Identifier
1548442601
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A89943 Issued in CA
Practice address
235 W Gleason St
Monterey Park, CA 91754-7107
Phone
(813) 598-8693
NPI assigned
Nov 30, 2007
Last updated
Jul 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A89943 CA Primary

Addresses

Primary practice location

235 W Gleason St
Monterey Park, CA 91754-7107

Mailing address

235 W Gleason St
Monterey Park, CA 91754-7107
Phone (813) 598-8693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100626000189 NY Practitioner - Anesthesiology 1052479185 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Florida College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacier Cryo Medical P.CGroup PAC ID 8527168509, 4 clinicians

Practice addresses (Care Compare)

205 E 76TH St
New York, NY 10021-2147
Phone (212) 472-4802

310 E 72ND St
New York, NY 10021-4726
Phone (718) 222-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89943CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowbrook Medical Associates Anesthesiology CurrentSince Mar 23, 2010 Accepting new patients
Eastside Medical Care PLLC Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
Plaza Obs Medical, PLLC Past Accepting new patients
Kris J Storkersen M D Inc PastSince Mar 29, 2020 Accepting new patients
Manhattan Medical Practice PC Anesthesiology PastSince Jan 5, 2010 Accepting new patients

Locations

2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112

205 E 76th St
Fl M2
New York, NY 10021
Phone (212) 472-4802

310 E 72nd St
New York, NY 10021
Phone (212) 396-3016

865 Merrick Ave
Ste 150N
Westbury, NY 11590
Phone (516) 542-3636

Organizations & group practices 6

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1548442601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W GLEASON ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547107",
            "telephone_number": "813-598-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W GLEASON ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547107",
            "telephone_number": "813-598-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "PEI-JEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A89943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.