Individual provider Active NPI

Jiyoon Kang, DO

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
National Provider Identifier
1609300078
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MB11779800 Issued in NJ
Practice address
579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone
(732) 390-0040
Fax
(732) 955-8874
NPI assigned
Apr 12, 2017
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MB11779800 NJ Primary

Addresses

Primary practice location

579A Cranbury Rd
East Brunswick, NJ 08816-5426

Mailing address

579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone (732) 390-0040

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230717000321 NJ Practitioner - Diagnostic Radiology 6507136660 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians
Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians
Flemington Radiology Associates LLCGroup PAC ID 5294145819, 68 clinicians
University Radiology at Cooper LLCGroup PAC ID 4587053699, 78 clinicians
University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians

Practice addresses (Care Compare)

1043 W Main St
Freehold, NJ 07728-2538
Phone (732) 462-1900

2100 Corlies Ave
Neptune, NJ 07753-6102
Phone (732) 988-1234

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (732) 390-0040

2339 Route 70 W
Cherry Hill, NJ 08002-3315
Phone (732) 390-0040

415 Morris Ave
Elizabeth, NJ 07208-3612
Phone (908) 351-7600

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB11779800NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Radiology Group, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Hunterdon Medical Center Diagnostic Radiology CurrentSince Jul 8, 2025 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
General Hospital Corp Current Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
University Radiology at Cooper, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Rwjuh Imaging at Plum Street, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Hillsborough Radiology Centers, LLC Diagnostic Radiology Current Accepting new patients
Flemington Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Central Jersey Radiologists Diagnostic Radiology Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

1 Robertson Dr
Ste 16
Bedminster, NJ 07921
Phone (908) 234-0205

33 Monroe St
Bridgewater, NJ 08807
Phone (908) 725-1291

2339 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 414-6114

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

3900 Park Ave
Ste 107
Edison, NJ 08820
Phone (732) 546-6800

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

500 Grand Ave
Englewood, NJ 07631
Phone (201) 541-0440

121 State Route 31
Ste 1100
Flemington, NJ 08822
Phone (908) 782-4700

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

833 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-2334

1043 W Main St
Freehold, NJ 07728
Phone (732) 462-1900

375 US Highway 206
Hillsborough, NJ 08844

210 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 486-1111

2315 Route 34
Ste C
Manasquan, NJ 08736
Phone (732) 974-0404

2130 Millburn Ave
Ste A8
Maplewood, NJ 07040
Phone (732) 383-4166

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

235 Franklin Ave
Nutley, NJ 07110
Phone (973) 235-9090

3822 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-4848

75 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-0060

699 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 836-2500

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

Interoperability endpoints

  • Direct secure messaging: kang.jiyoon.mgh@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1609300078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-955-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-955-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JIYOON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB11779800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.