No Bong Kwak, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

256358 Issued in NY

Practice address

270-05 76TH Avenue
New Hyde Park, NY 11040

Phone

(718) 470-4585

Fax

(718) 470-4345

NPI assigned

May 4, 2010

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NV, MD, IA4 enrollments

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 4

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

University of Maryland Diagnostic Imaging Specialists P aGroup PAC ID 7719873298, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
• HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
• HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nkwak1246411@direct.umm.edu
• Direct secure messaging: nkwak4107066@direct.trinity-health.org
• Direct secure messaging: nobongkwak@nslijmedgr.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  Medicare reassignment Care Compare group NPD
• University of Maryland Diagnostic Imaging Specialists P a

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1154335487
  Medicare reassignment Care Compare group NPD
• Lucidsolutions, Inc.

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1518594480

  FL, IA

  Medicare reassignment NPD
• University Medical Center of Southern Nevada

  dba University Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  Medicare reassignment NPD
• FMC Urgent Care LLC

  dba Florida Medical Clinic Orlando Health Urgent Care

  • Urgent Care Clinic/Center
  • Zephyrhills, FL
  • NPI 1154563120
  Medicare reassignment
• Ohi West Medical Group II LLC

  • General Practice Physician
  • Zephyrhills, FL
  • NPI 1982381299
  Medicare reassignment
• Adventhealth West Florida Imaging, Inc.

  dba AdventHealth Imaging Center Brandon

  • Radiology Clinic/Center
  • Brandon, FL
  • NPI 1619500881
  NPD
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1982662912
  NPD
• University of Maryland Diagnostic Imaging Specialists P a

  • Diagnostic Radiology Physician
  • Largo, MD
  • NPI 1619783974
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galencare, Inc.

  dba HCA Florida Brandon Hospital

  • General Acute Care Hospital
  • Brandon, FL
  • NPI 1669427258
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  dba HCA Florida Bayonet Point Hospital

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419
  Care Compare affiliation
• University of Maryland Medical Center, LLC

  dba University of Maryland Medical Center

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1174660120
  Care Compare affiliation

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1942528716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270-05 76TH AVENUE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-4585",
            "fax_number": "718-470-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270-05 76TH AVENUE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-4585",
            "fax_number": "718-470-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-3477",
            "fax_number": "410-328-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWAK",
        "first_name": "NO",
        "middle_name": "BONG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0103512",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "256358",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D0103512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gobuiwang Khilly Kurusa, MD
• William Lee Kutcher, M.D.
• Andrew Kuznetsov, D.D.S.
• Alan Seth Kuznick, D.M.D.
• Janiper Kwak, M.D.
• Boahen Owusu Kwakye, AGNP
• Grace Chung Yan Kwan-Mangal, RPH
• Hening Kwan, PHARMD
• Jovita Kwan, NP
• Thomas Kwiatkowski

• Diagnostic Radiology Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.