Individual provider Active NPI

Minho Kwon, M.D

  • Anesthesiology Physician
  • Rhinebeck, NY
National Provider Identifier
1548693310
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
309122 Issued in NY
Practice address
6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone
(845) 876-3001
NPI assigned
Aug 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 309122 NY Primary
Anesthesiology Physician 207L00000X 25MA10323500 NJ

Addresses

Primary practice location

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709

Mailing address

4308 Crest LN
Fort Lee, NJ 07024-2231

Other practice location 1

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

Other practice location 2

30 Prospect Ave
Hackensack, NJ 07601
Phone (551) 996-2419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180709003100 NJ Practitioner - Anesthesiology 2062784408 Reassigns benefits to 5 organizations
I20210901001796 NY Practitioner - Anesthesiology 2062784408 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Anesthesia Surgical Centers LLCGroup PAC ID 9537551254, 51 clinicians
Canj Anesthesia LLCGroup PAC ID 6709278740, 75 clinicians

Practice addresses (Care Compare)

190 Midland Ave
Saddle Brook, NJ 07663-6408
Phone (718) 540-8600

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (917) 681-4963

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10323500NJMDAnesthesiology Physician
309122NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centurion Midtown Anesthesia PLLC Anesthesiology CurrentSince Jul 15, 2023 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Aug 28, 2025 Accepting new patients
New Jersey Anesthesia Services LLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jun 7, 2021 Accepting new patients
St. Joseph'S Physician Health, P.C. Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jul 28, 2022 Accepting new patients
Centurion Anesthesia Surgical Centers LLC Anesthesiology CurrentSince Jan 31, 2025 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Jun 25, 2018 Accepting new patients
Canj Anesthesia LLC Anesthesiology CurrentSince Feb 6, 2025 Accepting new patients
New Jersey Anesthesia Professionals LLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

20 Commerce Dr
Ste 135
Cranford, NJ 07016
Phone (908) 449-0441

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

190 Midland Ave
Saddle Brook, NJ 07663
Phone (201) 549-9998

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

7 Southwoods Blvd
Ste 4
Albany, NY 12211

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

200 Broadway
Ste 3149
Brooklyn, NY 11211

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1548693310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 CREST LN",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-876-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "07601",
            "country_code": "US",
            "telephone_number": "551-996-2419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "MINHO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "309122",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA10323500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.