DIANA HYEJUNG KONG (NPI# 1841285152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841285152 |
| Entity Type | Individual |
| Full Name | DIANA HYEJUNG KONG |
| Other Name | DIANA HYEJUNG SHIM |
| Credential | NP |
| Practice Address |
120 Mineola Blvd Suite 210 Mineola NY 11501-4064 |
| Mailing Address |
222 Station Plz N Suite 611 Mineola NY 11501-3800 |
| Practice Telephone | 5166634600 |
| Practice Fax Number | 5166633826 |
| Mailing Telephone | 5166632532 |
| Mailing Fax Number | 5166632233 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2012-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F381261 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02160089 | 05 |
| Street Address |
120 MINEOLA BLVD SUITE 210 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609869734 | Valerie Cucco | Obstetrics & Gynecology | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4073 | 2005-08-24 |
| 1447892153 | Cassandra Singh | Nurse Practitioner | 120 Mineola Blvd, Mineola, NY 11501-4064 | 2019-10-14 |
| 1750739876 | Jaime Michelle Tramontana | Genetic Counselor, MS | 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4064 | 2016-05-31 |
| 1770944688 | Jessica Hoey | Internal Medicine | 120 Mineola Blvd, Mineola, NY 11501 | 2016-03-19 |
| 1689039505 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Emergency Medicine | 120 Mineola Blvd, Suite 360, Mineola, NY 11501-4064 | 2015-12-18 |
| 1013372135 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Surgery | 120 Mineola Blvd, Suite 300, Mineola, NY 11501-4064 | 2015-12-16 |
| 1639555428 | Anne-marie Wise | Nurse Practitioner | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064 | 2015-08-04 |
| 1518342021 | Sherin Philip | Nurse Practitioner | 120 Mineola Blvd, 100, Mineola, NY 11501-4064 | 2015-07-26 |
| 1093199564 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Allergy & Immunology | 120 Mineola Blvd, Suite 410, Mineola, NY 11501-4064 | 2015-07-15 |
| 1154702850 | Abigail Weinberg | Genetic Counselor, MS | 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4064 | 2015-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952501462 | Amy Lea Martin | Nurse Practitioner | Winthrop-university Hospital, 259 First Street, Mineola, NY 11501 | 2007-07-23 |
| 1447892153 | Cassandra Singh | Nurse Practitioner | 120 Mineola Blvd, Mineola, NY 11501-4064 | 2019-10-14 |
| 1386921229 | Diane Gail Wilson | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2011-11-07 |
| 1699007617 | Jennifer Anne Benz | Nurse Practitioner | 156 1st St, Mineola, NY 11501-4084 | 2010-02-01 |
| 1588803910 | Ebony Annette Barrett | Nurse Practitioner | 259 1st St, Winthrop University Hospital, Nicu, Mineola, NY 11501-3957 | 2009-02-09 |
| 1811141526 | Sarita Ann George | Nurse Practitioner | 101 Mineola Blvd, 2nd Floor, Mineola, NY 11501-4007 | 2008-11-07 |
| 1386893196 | Sharon G. Coritsidis | Nurse Practitioner | 120 Mineola Blvd, Suite 460, Mineola, NY 11501-4064 | 2008-09-17 |
| 1881840114 | Barbara Greitzer Slone | Nurse Practitioner | 259 1st St, Winthrop University Hospital, Mineola, NY 11501-3957 | 2008-08-18 |
| 1689895328 | Tami L Lambert | Nurse Practitioner | 173 Mineola Blvd, Suite 101, Mineola, NY 11501-2528 | 2007-05-01 |
| 1801937875 | Kathy M Mckillop | Nurse Practitioner | 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4073 | 2007-02-10 |
| Find all providers in MINEOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.