Active NPI
Yong Kang Medical PLLC
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 214116
- Legal business name
- YONG KANG MEDICAL PLLC
- Practice address
- 837 59TH St
Brooklyn, NY 11220-3611 - Phone
- (718) 680-8881
- Fax
- (718) 680-7880
- NPI assigned
- Nov 1, 2010
- Last updated
- May 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yong Kang He, M.D
- Title
- Internal Medicine
- Phone
- (718) 680-8881
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 253932 | NY | |
| Internal Medicine Physician | 207R00000X | 214116 | NY | Primary |
| Pediatrics Physician | 208000000X | 253487 | NY |
Addresses
Primary practice location
837 59TH St
Brooklyn, NY 11220-3611
Mailing address
837 59TH St
Brooklyn, NY 11220-3611
Phone (718) 680-8881
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03140892 | Medicaid | NY | |
| 03219165 | Medicaid | NY | |
| 2023389 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2085722 | Yong Kang Medical PLLC | Certificate of waiver | Oct 20, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
837 59th St
Brooklyn, NY 11220
Phone (718) 975-8415
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- New York, NY
- NPI 1174555486
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1396340915
-
- Physician Assistant
- Brooklyn, NY
- NPI 1689921934
-
- Family Nurse Practitioner
- Little Neck, NY
- NPI 1659757664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1972803328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 59TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203611",
"telephone_number": "718-680-8881",
"fax_number": "718-680-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 59TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203611",
"telephone_number": "718-680-8881",
"fax_number": "718-680-7880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YONG KANG MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-01",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "HE",
"authorized_official_first_name": "YONG KANG",
"authorized_official_title_or_position": "INTERNAL MEDICINE",
"authorized_official_telephone_number": "718-680-8881",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "253932",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "214116",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "253487",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03140892",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03219165",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2023389",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.