Active NPI
Bobby Hao Kwok
- Pharmacist
- New York, NY
National Provider Identifier
1760705453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053777
- Practice address
- 408 Grand St
New York, NY 10002-4702 - Phone
- (212) 529-7115
- NPI assigned
- Mar 9, 2010
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053777 | NY | Primary |
Addresses
Primary practice location
408 Grand St
New York, NY 10002-4702
Mailing address
3558 12TH Ave FL 1
Brooklyn, NY 11218-2006
Phone (212) 203-6065
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053777 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newgen Pharmacy Inc. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1538539051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1760705453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3558 12TH AVE FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112182006",
"telephone_number": "212-203-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 GRAND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024702",
"telephone_number": "212-529-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWOK",
"first_name": "BOBBY",
"middle_name": "HAO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.