Jackson Hsun Kuan, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

173042 Issued in NY

Practice address

13259 41 Rd
Suite 1a and 1B
Flushing, NY 11355

Phone

(718) 358-3535

Fax

(718) 358-2072

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Palmadessa & Brodsky Gastroenterology Associates P.C.

  • Specialist
  • Douglaston, NY
  • NPI 1881610426
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1841395100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13259 41 RD",
            "address_2": "SUITE 1A AND 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-358-3535",
            "fax_number": "718-358-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13259 41 RD",
            "address_2": "SUITE 1A AND 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-358-3535",
            "fax_number": "718-358-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUAN",
        "first_name": "JACKSON",
        "middle_name": "HSUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "173042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1132241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Alyssa Krup, OTR/L
• Sivan Gal Krupnick, LCSW
• Elizabeth Ku, BSN, RN
• Susan Ku, D.D.S.
• Carenia Julie Kuan, MD
• Katherine Kuang, MD
• Kathryn Adair Kubic, M.A. CCC-SLP, TSSLD
• Khushali Tejasbhai Kukadiya, PHYSICAL THERAPIST
• Anna Kula, PA
• Pankush Kumar

• Gastroenterology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.