Elizabeth Hyun-Mi Kwon, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

209525 Issued in NY

Practice address

4422 3Rd Ave
St. Barnabas Hospital--Mills Building--4TH Floor
Bronx, NY 10457-2545

Phone

(718) 960-9331

Fax

(718) 960-3792

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922020130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 WESTERVELT AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702531",
            "telephone_number": "201-568-2423",
            "fax_number": "718-960-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "address_2": "ST. BARNABAS HOSPITAL--MILLS BUILDING--4TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-9331",
            "fax_number": "718-960-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "ELIZABETH",
        "middle_name": "HYUN-MI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "209525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01986561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Kwok, MS, RD, CDN, CDCES,
• Sze Wing Madeline Kwok, P.T
• Andreana Kwon, M.D.
• Chung in Kwon, PHARM.D
• David Ethm Kwon, LCSW
• Heasook Kwon
• Hyong Sun Kwon
• Janice J Kwon, PHARM D
• Jennifer Kwon
• Ji Yon Kwon, DMD

• Pediatrics Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatrics 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.