NO BONG KWAK (NPI# 1942528716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942528716 |
| Entity Type | Individual |
| Full Name | NO BONG KWAK |
| Credential | M.D. |
| Practice Address |
270-05 76th Avenue New Hyde Park NY 11040 |
| Practice Telephone | 7184704585 |
| Practice Fax Number | 7184704345 |
| Mailing Telephone | 7184704585 |
| Mailing Fax Number | 7184704345 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
256358 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
270-05 76TH AVENUE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054659 | Craig Merola | Anesthesiology | 270-05 76th Avenue, Department of Anesthesia, New Hyde Park, NY 11040 | 2005-06-22 |
| 1124648530 | Ellen Pham | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, Research Building C Level Room 039ab N, New Hyde Park, NY 11040 | 2020-04-26 |
| 1922637669 | Jasmin Neal | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, Research Bldg, C Level Room 039ab, New Hyde Park, NY 11040 | 2020-04-04 |
| 1346803236 | Remi Minh Khang Le | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2019-04-17 |
| 1003378852 | Oliver Standring | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, Victoria Wrathe, Research Building- C Level Room 039ab, New Hyde Park, NY 11040 | 2019-04-02 |
| 1306320080 | Tanya J Thakur | Physician Assistant | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2018-09-19 |
| 1023513231 | Michael Quinn | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2018-03-28 |
| 1407350796 | Kristen Zaffuto | Registered Nurse | 270-05 76th Avenue, Oncology Building, New Hyde Park, NY 11040-1402 | 2018-03-21 |
| 1063950384 | Kason Wan | Physician Assistant | 270-05 76th Avenue, New Hyde Park, NY 11040-1402 | 2017-02-07 |
| 1275920720 | Jeffrey Deygoo | Student in an Organized Health Care Education/Training Program | 270-05 76th Avenue, New Hyde Park, NY 11040 | 2015-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639448020 | Ali Saleem | Radiology | 1301 Lowell Ave, New Hyde Park, NY 11040-4246 | 2011-12-14 |
| 1528355914 | Frances M. Vernace | Radiology | 39 Windsor Gate Drive, New Hyde Park, NY 11040 | 2011-07-06 |
| 1669764874 | James Park | Radiology | 6 Ohio Dr Ste 204, New Hyde Park, NY 11042-1129 | 2011-05-05 |
| 1326275777 | Mahendra Sharma Md PC | Radiology | 15 Knolls Drive, New Hyde Park, NY 11040-1110 | 2009-06-12 |
| 1023188471 | Alan Johnson | Radiology | Lij Dept of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1386714731 | Barak Friedman | Radiology | Lijmc-department of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1710057849 | David Siegel | Radiology | Lijmc-dept of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1659441798 | Diane Wilkinson | Radiology | Lijmc-dept. of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1871663930 | John Hines | Radiology | Lijmc - Dept of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1023188158 | Edward Wind | Radiology | Lijmc - Dept. of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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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.