Suki S Kang, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F347472-01 Issued in NY

Practice address

4001 Little Neck Pkwy Apt 14a
Little Neck, NY 11363-1726

Phone

(631) 880-0538

NPI assigned

Apr 21, 2021

Sex

Female

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 MI, NY2 enrollments

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 2

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.

• Senior Whole Health of New York, Inc

  • Health Maintenance Organization
  • New York, NY
  • NPI 1548677883
  Medicare reassignment NPD
• Molina Care Connections, LLC.

  dba Molina CC

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1558943472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LITTLE NECK PKWY APT 14A",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113631726",
            "telephone_number": "631-880-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LITTLE NECK PKWY APT 14A",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113631726",
            "telephone_number": "631-880-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SUKI",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347472-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jyan, ACUPUNCTURIST
• Kai D. Mai, D.D.S., P.C. (At Home Dental)
• Fotini Kalabakas
• Kam Primary Care, P.C.
• Yi Sheng Kam, D.O
• Susan Kang
• Duysal Karakus
• Sadia Karim, RN
• Bianca Marie Katsaros
• Naoko Katsuki, IBCLC, CLC

• Family Nurse Practitioner in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.