Individual provider Active NPI

Hye Eun Kwon, M.D.

  • Gynecology Physician
  • Rye Brook, NY
National Provider Identifier
1790968824
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
258128 Issued in NY
Practice address
14 Rye Ridge PLZ
Suite 234
Rye Brook, NY 10573-2826
Phone
(914) 305-3827
Fax
(914) 935-9047
NPI assigned
Dec 12, 2007
Last updated
Oct 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 258128 NY Primary

Addresses

Primary practice location

14 Rye Ridge PLZ
Suite 234
Rye Brook, NY 10573-2826

Mailing address

14 Rye Ridge PLZ
Suite 234
Rye Brook, NY 10573-2826
Phone (914) 305-3827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000654 NY Practitioner - Obstetrics/Gynecology 6305022591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Rye Ridge PLZ
Suite 234
Rye Brook, NY 10573-2826
Phone (914) 305-3827

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258128NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Gynecology of New York P.C. Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Sound Shore Physician Services Past Accepting new patients

Locations

14 Rye Ridge Plz
Ste 234
Rye Brook, NY 10573
Phone (914) 251-1070

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1790968824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RYE RIDGE PLZ",
            "address_2": "SUITE 234",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732826",
            "telephone_number": "914-305-3827",
            "fax_number": "914-935-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RYE RIDGE PLZ",
            "address_2": "SUITE 234",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732826",
            "telephone_number": "914-305-3827",
            "fax_number": "914-935-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "HYE EUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "258128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.