Individual provider Active NPI

Katherine Hsiung Vygon

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1639623234
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307837 Issued in NY
Practice address
40 W Brighton Ave Ste 103
Brooklyn, NY 11224-4901
Phone
(718) 996-2260
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307837 NY Primary

Addresses

Primary practice location

40 W Brighton Ave Ste 103
Brooklyn, NY 11224-4901

Mailing address

363 Woodbridge LN
Jericho, NY 11753-2628

Other practice location 1

30 7th Ave
New York, NY 10011-6608
Phone (646) 665-6910

Other practice location 2

13640 39th Ave Ste 6Gb
Flushing, NY 11354-5536
Phone (718) 321-8246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180529000114 NY Practitioner - Nurse Practitioner 8628333416 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edwin K Chan MD PCGroup PAC ID 1951456847, 6 clinicians
New York Allergy Asthma and Immunology PCGroup PAC ID 6507127750, 12 clinicians

Practice addresses (Care Compare)

13640 39TH Ave
Suite 6GB
Flushing, NY 11354-5536
Phone (718) 321-8246

560 Northern Blvd
Suite 104
Great Neck, NY 11021-5100
Phone (516) 487-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
307837NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin K Chan MD PC CurrentSince Mar 24, 2025 Accepting new patients
Brooklyn Eye and Ear Medical PC CurrentSince Mar 27, 2018 Accepting new patients
Zhenqing Brett Wu MD PLLC PastSince Mar 24, 2025 Accepting new patients

Locations

40 W Brighton Ave
Ste 103
Brooklyn, NY 11224
Phone (718) 743-0464

13640 39th Ave
Ste 6GB
Flushing, NY 11354
Phone (718) 321-8246

13640 39th Ave
#6
Flushing, NY 11354
Phone (718) 321-8246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCDBA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1639623234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 WOODBRIDGE LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W BRIGHTON AVE STE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244901",
            "telephone_number": "718-996-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 7th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100116608",
            "country_code": "US",
            "telephone_number": "646-665-6910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13640 39th Ave Ste 6Gb",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545536",
            "country_code": "US",
            "telephone_number": "718-321-8246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VYGON",
        "first_name": "KATHERINE",
        "middle_name": "HSIUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.