Sophia H Kwo, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

163708 Issued in NY

Practice address

1991 Marcus Ave Ste 102
Division of Plastic Surgery
New Hyde Park, NY 11042-2062

Phone

(516) 497-7900

Fax

(516) 497-7920

NPI assigned

Mar 15, 2007

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University Group Medical Associates, P.C

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1285683102
  NPD (past)
• University of Utah Plastic Surgery Associates

  • Plastic Surgery Physician
  • Salt Lake City, UT
  • NPI 1326057258

  Plastic Surgery

  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1720112352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE STE 102",
            "address_2": "DIVISION OF PLASTIC SURGERY",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE STE 102",
            "address_2": "DIVISION OF PLASTIC SURGERY",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422062",
            "telephone_number": "516-497-7900",
            "fax_number": "516-497-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWO",
        "first_name": "SOPHIA",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "163708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Chung Yan Kwan-Mangal, RPH
• Hening Kwan, PHARMD
• Jovita Kwan, NP
• Thomas Kwiatkowski
• Lisa Kwiecinski, CRNA
• Elena N. Kwon, M.D.
• Stephen Soonbeom Kwon, DMD
• Yeshin Kwon
• L&L Dental Associates, LLP
• L&L Drugs of Nassau,Inc

• All providers in New Hyde Park, NY
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.