Individual provider Active NPI

Seung Hee Kang, MD

  • Infectious Disease Physician
  • Bronx, NY
National Provider Identifier
1861698490
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
272451 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 299-7295
Fax
(718) 294-6276
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 272451 NY Primary
Infectious Disease Physician 207RI0200X 50270 MN

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Other identifiers 1

IdentifierTypeStateIssuer
789445000MedicaidMN

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
I20101209001314 NY Practitioner - Addiction MedicinePractitioner - Internal MedicinePractitioner - PsychiatryPractitioner - Infectious Disease 9234224262 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Floating Hospital IncGroup PAC ID 0547367120, 17 clinicians
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

2101 41St Ave
Long Island City, NY 11101-4801
Phone 7187842240144

37 W 23Rd St
New York, NY 10010-5389
Phone (646) 596-9267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003681NYMDAcupuncturist
272451NYMDInfectious Disease Physician
103304MNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Floating Hospital Inc. CurrentSince Jul 19, 2021 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Feb 1, 2019 Accepting new patients
The Floating Hospital Inc. CurrentSince Jul 19, 2021 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 31, 2019 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 31, 2019 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. CurrentSince Jan 4, 2016 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Shlomit Levy Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400

1029 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266

2101 41st Ave
Long Island City, NY 11101
Phone (718) 691-6307

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Networks

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

Interoperability endpoints

  • Direct secure messaging: seung.kang.1@22829.direct.athenahealth.com
  • Direct secure messaging: seung.hee.kang.1@2983.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1861698490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-294-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-294-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SEUNG",
        "middle_name": "HEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "272451",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MN",
            "license": "50270",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "789445000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.