Active NPI
Kevin Jack Huang, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1760104632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 048926
- Practice address
- 6010 Bay Pkwy
Brooklyn, NY 11204-6079 - Phone
- (718) 283-8962
- NPI assigned
- Sep 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 048926 | NY | Primary |
Addresses
Primary practice location
6010 Bay Pkwy
Brooklyn, NY 11204-6079
Mailing address
1572 84TH St
Brooklyn, NY 11228-3132
Phone (646) 207-5022
Other practice location 1
26 Court St
Brooklyn, NY 11242-0103
Phone (718) 283-8962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VC09132Q | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1760104632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1572 84TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112283132",
"telephone_number": "646-207-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 BAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112046079",
"telephone_number": "718-283-8962"
}
],
"practiceLocations": [
{
"address_1": "26 Court St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112420103",
"country_code": "US",
"telephone_number": "718-283-8962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUANG",
"first_name": "KEVIN",
"middle_name": "JACK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "048926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VC09132Q",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.