Active NPI
Judy Yee Kwok, M.D.
- Internal Medicine Physician
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 271011
- Practice address
- 163 Gore Street
Cambridge, MA 02149-2420 - Phone
- (617) 575-5850
- Fax
- (617) 575-5860
- NPI assigned
- May 23, 2013
- Last updated
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 60654546 | WA | |
| Internal Medicine Physician | 207R00000X | 271011 | MA | Primary |
Addresses
Primary practice location
163 Gore Street
Cambridge, MA 02149-2420
Mailing address
163 Gore Street
Cambridge, MA 02149
Phone (617) 575-5850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60654546 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Highland Park Operator LLC | Past | Accepting new patients |
Locations
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
163 Gore St
East Cambridge, MA 02141
Phone (617) 499-6690
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
Interoperability endpoints
- jkwok37289@direct.challiance.masshiway.net
Organizations & group practices 3
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.
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
dba Highland Park Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Chelsea, MA
- NPI 1073343877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1770920217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 GORE STREET",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02149",
"telephone_number": "617-575-5850",
"fax_number": "617-575-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 GORE STREET",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021492420",
"telephone_number": "617-575-5850",
"fax_number": "617-575-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWOK",
"first_name": "JUDY",
"middle_name": "YEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "60654546",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "271011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.