Individual provider Active NPI

Kun Huang

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1720792757
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353595 Issued in NY
Practice address
749 61St St Ste 401
Brooklyn, NY 11220-5163
Phone
(718) 492-4170
Fax
(718) 492-4161
NPI assigned
Jan 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 353595 NY Primary

Addresses

Primary practice location

749 61St St Ste 401
Brooklyn, NY 11220-5163

Mailing address

600 Moye Blvd
Greenville, NC 27834-4300
Phone (252) 744-6478

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118002499 NY Practitioner - Nurse Practitioner 6608300397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
353595NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Unity Medical Care PC CurrentSince Sep 21, 2024 Accepting new patients
Xie Yi Medical Office, P.C. CurrentSince Sep 7, 2024 Accepting new patients

Locations

749 61st St
Ste 401
Brooklyn, NY 11220
Phone (718) 492-4170

139 Centre St
Ste 715A
New York, NY 10013
Phone (917) 374-2100

139 Centre St
#715A
New York, NY 10013
Phone (901) 279-3831

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1720792757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300",
            "telephone_number": "252-744-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 61ST ST STE 401",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205163",
            "telephone_number": "718-492-4170",
            "fax_number": "718-492-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "KUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.