Organization Active NPI

Kwon Family Practice, LLC

  • Family Medicine Physician
  • Edison, NJ
National Provider Identifier
1700361532
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KWON FAMILY PRACTICE, LLC
Practice address
2124 Oak Tree Rd FL 2
Edison, NJ 08820-1089
Phone
(732) 744-6756
Fax
(732) 205-9648
NPI assigned
Sep 27, 2018
Last updated
Sep 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Christine Kim
Title
Manager
Phone
(732) 744-6756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2124 Oak Tree Rd FL 2
Edison, NJ 08820-1089

Mailing address

2124 Oak Tree Rd FL 2
Edison, NJ 08820-1089
Phone (732) 744-6756

National Provider Directory

National Provider Directory

Locations

2124 Oak Tree Rd
Fl 2
Edison, NJ 08820
Phone (732) 205-1311

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1700361532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 OAK TREE RD FL 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201089",
            "telephone_number": "732-744-6756",
            "fax_number": "732-205-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 OAK TREE RD FL 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201089",
            "telephone_number": "732-744-6756",
            "fax_number": "732-205-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWON FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-744-6756"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.