Active NPI
Robert Hwang, DMD
- Dentist
- Flushing, NY
National Provider Identifier
1679727689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 038846
- Practice address
- 3569 166TH St
Flushing, NY 11358-1722 - Phone
- (201) 290-3331
- Fax
- (201) 944-0212
- NPI assigned
- Nov 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 038846 | NY | Primary |
Addresses
Primary practice location
3569 166TH St
Flushing, NY 11358-1722
Mailing address
3569 166TH St
Flushing, NY 11358-1722
Phone (201) 290-3331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00872284 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038846 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1679727689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3569 166TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581722",
"telephone_number": "201-290-3331",
"fax_number": "201-944-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3569 166TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581722",
"telephone_number": "201-290-3331",
"fax_number": "201-944-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-05",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "038846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00872284",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.