Philip Y. Kang, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DJ02278500 Issued in NJ

Practice address

1567 Palisade Ave
#2A
Fort Lee, NJ 07024-6923

Phone

(201) 947-8399

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1992854673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 PALISADE AVE",
            "address_2": "#2A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246923",
            "telephone_number": "201-947-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 PALISADE AVE",
            "address_2": "#2A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246923",
            "telephone_number": "201-947-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "PHILIP",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DJ02278500",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "052245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Mark Kagan, DDS
• Kaleidoscopic Minds
• Hee Min Kang
• Kyung Hoon Kang, D.D.S.
• Paul Kang, D.C.
• Pilgoo Kang, D.D.S
• Ohan Karatoprak, M.D.
• Michael Kasselian, DDS
• Terri Feldman Katz, M.D
• Jaspreet Kaur, PHARMD

• Periodontics in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.