Peter Kang, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

152374 Issued in NY

Practice address

87-08 Justice Avenue
Suite 2L
Elmhurst, NY 11373

Phone

(718) 651-5123

Fax

(718) 651-5123

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871689711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 TAMARACK ROAD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "11778",
            "telephone_number": "718-651-5123",
            "fax_number": "718-651-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-08 JUSTICE AVENUE",
            "address_2": "SUITE 2L",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-651-5123",
            "fax_number": "718-651-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "152374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sambasiva Kamineni, M.D.
• Mazullah Kamran, M.D.
• Vijayanth Kanagaraju, MD
• Michelle Soe Kanaley, MD
• Sasha Ameilia Kandasammy
• Sihyun Kang
• Soonja Kang, NP
• Yuri Kang, DPT
• Debasis Kanjilal, M.D.
• Parminder Kanta

• Family Medicine Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.