Individual provider Active NPI

Kyoungsun Hong

  • Family Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1669982724
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340022 Issued in NY
Practice address
3101 Ditmars Blvd
Astoria, NY 11105-2304
Phone
(866) 389-2727
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340022 NY Primary

Addresses

Primary practice location

3101 Ditmars Blvd
Astoria, NY 11105-2304

Mailing address

3101 Ditmars Blvd
Astoria, NY 11105-2304
Phone (866) 389-2727

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
I20171130002121 NY Practitioner - Nurse Practitioner 7113284076 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F340022NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of New York, P.C. Family CurrentSince May 11, 2023 Accepting new patients
Molina Healthcare of New York, Inc. CurrentSince Jun 5, 2023 Accepting new patients
Infinite Medical PC CurrentSince Oct 15, 2021 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Oct 7, 2017 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 7, 2017 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 7, 2017 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

3101 Ditmars Blvd
Astoria, NY 11105
Phone (718) 545-0128

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2175 Quarry Rd
Bronx, NY 10457
Phone (718) 960-3900

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2015 Grand Concourse
#13202
Bronx, NY 10453

250 Skillman St
Ste 202
Brooklyn, NY 11205

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1669982724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052304",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052304",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "KYOUNGSUN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.