Eun Ji Kwon, M.D.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

1017784 Issued in MA

Practice address

1 Cranberry HL Ste 105
Lexington, MA 02421-7397

Phone

(800) 325-7284

Fax

(205) 579-9387

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other names 1

• Eunji Kwon Former name

Medicare fee-for-service enrollment

Enrolled in NY, TN, MA, MI, OH5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Specialty

Dermatology

Education

University of Pittsburgh School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinkus Dermatopathology Laboratory, PCGroup PAC ID 8921077884, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ejk9002@direct.nyp.org
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Pinkus Dermatopathology Laboratory, PC

  • Clinical Medical Laboratory
  • Monroe, MI
  • NPI 1346223377
  Medicare reassignment Care Compare group NPD
• Consultants in Laboratory Medicine of Greater Toledo

  • Anatomic Pathology & Clinical Pathology Physician
  • Toledo, OH
  • NPI 1982673372
  Medicare reassignment NPD
• Poplar Healthcare, PLLC

  • Specialist
  • Memphis, TN
  • NPI 1346271251
  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  • Surgery Physician
  • New York, NY
  • NPI 1508266347

  Dermatology

  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  • Internal Medicine Physician
  • New York, NY
  • NPI 1699289488
  NPD
• Ameripath New York LLC

  • Clinical Medical Laboratory
  • White Plains, NY
  • NPI 1043282841
  NPD (past)
• Ameripath New York LLC

  • Clinical Medical Laboratory
  • Mount Kisco, NY
  • NPI 1962223370
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1780885491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRANBERRY HL STE 105",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217397",
            "telephone_number": "800-325-7284",
            "fax_number": "205-579-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRANBERRY HL STE 105",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217397",
            "telephone_number": "800-325-7284",
            "fax_number": "205-579-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "EUN",
        "middle_name": "JI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "69371",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "251783",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "1017784",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "251783",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TN",
            "license": "69371",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MA",
            "license": "1017784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUNJI",
            "last_name": "KWON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kthryn P. Rapperport, MD, PC
• Shiei Kuida
• Radha Suhas Kulkarni
• Divya Kumar
• Martha Jennifer Kurland, LICSW
• Kimberlee Kyslowsky, LCSW
• Eduardo K Lacson Jr., M.D., M.P.H.
• Christine Marie Lafleur, MS, CCC-SLP
• Lahey Clinic, Inc.
• Susan E Lalone, MS PT

• Dermatopathology Physician in Lexington, MA
• Providers in Lexington, MA by specialty
• Dermatopathology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.