Samantha Hyowon Jang, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR21294000 Issued in NJ

Practice address

21 Grand Ave Ste 502
Palisades Park, NJ 07650-1083

Phone

(201) 941-0990

NPI assigned

Aug 2, 2020

Last updated

Aug 2, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

• Grand Home Care LLC

  • Home Health Agency
  • Palisades Park, NJ
  • NPI 1063024743
  NPD
• Now Pain Clinc PC

  • Physical Disabilities Residential Treatment Facility
  • Palisades Park, NJ
  • NPI 1295019529

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1639789985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56A W HOMESTEAD AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE STE 502",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501083",
            "telephone_number": "201-941-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "SAMANTHA",
        "middle_name": "HYOWON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR21294000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inyoung Hwang
• Who Sun Im
• Inspire Chiropractic P.C.
• Catherine Jang
• Julia Hyun Jang, PHARMD
• Wonwoo Jang, DDS
• Hyunah Jee
• Jha Chiropractic LLC
• Jhuns Medical PC
• Daehwan Ji, L.AC

• Registered Nurse in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.