Charles Chang Kwak, PH. D.

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Practice address

78 Franklin St
New York, NY 10013-3481

Phone

(212) 219-7772

Fax

(212) 219-9595

NPI assigned

May 13, 2009

Sex

Male

Sole proprietor

No

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

Doctor of Philosophy

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1689808024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 FRANKLIN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133481",
            "telephone_number": "212-219-7772",
            "fax_number": "212-219-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 FRANKLIN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133481",
            "telephone_number": "212-219-7772",
            "fax_number": "212-219-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "CHARLES",
        "middle_name": "CHANG",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann J Kwa
• Sally H Kwa, M.D.
• Winston C. Kwa, M.D.
• Joann A. Kwah, M.D.
• Andrew Kwai, MD
• Edward S. Kwak, M.D.
• Ha Rim Kwak, MD
• Heeseung Kwak
• Jillian Marie Kwak
• Paul Edward Kwak, M.D.

• Sports Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Sports Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.