Individual provider Active NPI

Alice Kuang, D.O.

  • Family Medicine Physician
  • North Babylon, NY
National Provider Identifier
1811575459
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
327789 Issued in NY
Practice address
1231 Deer Park Ave
North Babylon, NY 11703-3104
Phone
(631) 667-0388
Fax
(631) 968-7705
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 327789 NY Primary

Addresses

Primary practice location

1231 Deer Park Ave
North Babylon, NY 11703-3104

Mailing address

1000 Montauk Hwy
West Islip, NY 11795-4927

Other practice location 1

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (917) 330-3266

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
I20240806001562 NY Practitioner - Family Practice 4688111875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Long Island Comprehensive Medical Care PLLCGroup PAC ID 3678731908, 41 clinicians

Practice addresses (Care Compare)

1231 Deer Park Ave
North Babylon, NY 11703-3104
Phone 6316670388612

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Comprehensive Medical Care PLLC CurrentSince Jul 14, 2024 Accepting new patients
Shahzad Iqbal Physician PLLC PastSince Jun 2, 2024 Accepting new patients

Locations

101 Louden Ave
Amityville, NY 11701
Phone (347) 489-9954

847 N Broadway
Massapequa, NY 11758
Phone (516) 798-0441

1231 Deer Park Ave
North Babylon, NY 11703
Phone 6316670388612

305 Locust Ave
Oakdale, NY 11769
Phone (631) 218-5900

50 Maine Ave
Rockville Ctr, NY 11570
Phone (516) 508-3552

273 Moriches Rd
Saint James, NY 11780
Phone (631) 265-4567

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Interoperability endpoints

  • Direct secure messaging: alice.kuang@lcmc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDHCCD

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 and National Provider Directory roles.

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1811575459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "fax_number": "313-763-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033104",
            "telephone_number": "631-667-0388",
            "fax_number": "631-968-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117954927",
            "country_code": "US",
            "telephone_number": "917-330-3266",
            "fax_number": "631-376-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUANG",
        "first_name": "ALICE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "327789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

Verify at the official NPI Registry.