Jiyoon Kang, DO
Individual provider Active NPI Diagnostic Radiology Physician · East Brunswick, NJ
NPI 1609300078 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1609300078
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 25MB11779800 (NJ)
- Practice address
- 579A Cranbury Rd
East Brunswick, NJ 08816-5426 - Phone
- (732) 390-0040
- Fax
- (732) 955-8874
- NPI assigned
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 9
Medicare Care Compare profile
- 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 LLC
Jersey Shore Imaging LLC
Flemington Radiology Associates LLC
University Radiology at Cooper LLC
University Radiology at Trinitas LLC
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
- Robert Wood Johnson University Hospital
- Saint Peter'S University Hospital
- Trinitas Regional Medical Center
- Hunterdon Medical Center
- Jersey City Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230717000321 | NJ | Practitioner - Diagnostic Radiology | 6507136660 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB11779800 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Radiology at Cooper, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Rwjuh Imaging at Plum Street, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Flemington Radiology Associates, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Jersey Shore Imaging, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University Radiology-Atlantic, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Hillsborough Radiology Centers, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hunterdon Medical Center | Diagnostic Radiology | Current |
Accepting new patients |
| University Radiology Group, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| General Hospital Corp | Current | Accepting new patients | |
| University Radiology at Trinitas, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Central Jersey Radiologists | Diagnostic Radiology | Past | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
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) 406-4080
579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030
483 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
2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420
121 State Route 31
Ste 1100
Flemington, NJ 08822
Phone (908) 782-4700
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
- kang.jiyoon.mgh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MB11779800 | NJ | Yes |
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
Other providers in East Brunswick, NJ
- Barbara Kalimanis
- Marsha Kallich
- Amit Kalra
- Breann Kamara
- Praveena Kandula
- Savannah Lee Kang
- Ghazal Kango
- Kenneth A Kaplan
- Murray C Kaplan
- Anjali Kapur
All providers in East Brunswick, NJ · Diagnostic Radiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.