Organization Active NPI

Kab S. Hong, MD. PC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Elkins Park, PA
National Provider Identifier
1760437636
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
MD039474L Issued in PA
Legal business name
KAB S. HONG, MD. PC
Practice address
1349 W Cheltenham Ave
Suite 201
Elkins Park, PA 19027-3141
Phone
(215) 782-1610
Fax
(215) 782-1620
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Kab S Hong, M.D.
Title
President
Phone
(215) 782-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X MD039474L PA Primary

Addresses

Primary practice location

1349 W Cheltenham Ave
Suite 201
Elkins Park, PA 19027-3141

Mailing address

1349 W Cheltenham Ave Ste 201
Elkins Park, PA 19027-3141
Phone (215) 782-1610

Other identifiers 1

IdentifierTypeStateIssuer
0011241740004MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1760437636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 W CHELTENHAM AVE STE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273141",
            "telephone_number": "215-782-1610",
            "fax_number": "215-782-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 W CHELTENHAM AVE",
            "address_2": "SUITE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273141",
            "telephone_number": "215-782-1610",
            "fax_number": "215-782-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAB S. HONG, MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "KAB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-782-1610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD039474L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011241740004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.