James J Kwak, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB05949300 Issued in NJ

Practice address

2301 Evesham Road
Suite 505
Voorhees, NJ 08043-4507

Phone

(856) 520-8718

Fax

(856) 520-8719

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Family Practice

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
• Cooper University Hospital Hospital, Camden, NJ, CCN 310014
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.kwak.1@14066.direct.athenahealth.com

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.

• Kwak Family Medicine, PC

  • Primary Care Clinic/Center
  • Voorhees, NJ
  • NPI 1386943819
  Medicare reassignment NPD Authorized official

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Pennsauken, NJ
  • NPI 1275580615
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Moorestown, NJ
  • NPI 1366716565
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Woodbury, NJ
  • NPI 1710284005
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Egg Harbor Township, NJ
  • NPI 1790730109
  Care Compare affiliation
• The Cooper Health System

  • Land Ambulance
  • Camden, NJ
  • NPI 1174976724

  Hospital

  Care Compare affiliation
• The Cooper Health System

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1568442309
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1578552865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 EVESHAM ROAD",
            "address_2": "SUITE 505",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434507",
            "telephone_number": "856-520-8718",
            "fax_number": "856-520-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 EVESHAM ROAD",
            "address_2": "SUITE 505",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434507",
            "telephone_number": "856-520-8718",
            "fax_number": "856-520-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05949300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040321",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda R Kurnik, M.D.
• Dale C Kushner, DMD
• Elizabeth Kusturiss, NP
• Jessica K Kutikov, M.D.
• Kwak Family Medicine, PC
• Sarah Kwon, D.O.
• Sarah Elysse Kym, M.D.
• Joseph D La Motta, M.D.
• Kathryn T Lafferty, MD
• Kristina Jane Laguerre, MD, MPH

• Family Medicine Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.