Laura Haekyoung Kang, APN,C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00107600 Issued in NJ

Practice address

424 Main St
East Orange, NJ 07018-3212

Phone

(973) 674-8067

NPI assigned

Aug 30, 2006

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, CA, NY3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Rutgers New Jersey Medical School, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Cumberland County Guidance CenterGroup PAC ID 0345280814, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cumberland County Guidance Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Millville, NJ
  • NPI 1447337134
  Medicare reassignment Care Compare group NPD
• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Special Service for Groups, Inc.

  • Voluntary or Charitable Agency
  • Los Angeles, CA
  • NPI 1952442949
  Medicare reassignment NPD
• Valera Medical, P.a.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1306435060

  NJ, Psychiatric/Mental Health

  Medicare reassignment NPD
• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420
  Medicare reassignment
• NLP Behavioral Services LLC

  • Psychiatry Physician
  • Freehold, NJ
  • NPI 1104969096
  Medicare reassignment
• Special Service for Groups, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1811028863
  NPD
• Special Service for Groups, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Los Angeles, CA
  • NPI 1982735932
  NPD
• Mental Health Association of Essex and Morris

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Montclair, NJ
  • NPI 1427320357
  NPD (past)
• Mental Health Association of Essex and Morris, Inc.

  • Mental Health Counselor
  • Montclair, NJ
  • NPI 1790721108
  NPD (past)
• North Jersey Psychiatric Serivces LLC

  • Psychiatry Physician
  • Wayne, NJ
  • NPI 1043265614
  NPD (past)
• Wayne Behavioral Service, LLC

  • Psychiatry Physician
  • Wayne, NJ
  • NPI 1487677795
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1720198179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CECILIA DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704605",
            "telephone_number": "973-872-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MAIN ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183212",
            "telephone_number": "973-674-8067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Centre St Ste 824",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134558",
            "country_code": "US",
            "telephone_number": "646-450-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "LAURA",
        "middle_name": "HAEKYOUNG",
        "name_prefix": "Mrs.",
        "credential": "APN,C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "450358",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR08414400",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405060",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00107600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Just Healthcare LLC
• Jessica Kachadourian, PHARM D
• Chloe Kaifa
• Mafatta N Kamara, LMFT
• Clinton Richard Kaminski, P.A.
• Nirmala R Kania, M.D.
• Ramesh M Kania, M.D.
• Karibuni Healthcare & Staffing Inc
• Ariella S Kastner
• Madhavi R. Katta, M.D.

• Psychiatric/Mental Health Nurse Practitioner in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.