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KWAK FAMILY MEDICINE, PC
NPI 1386943819
Clinic/Center - Primary Care in Voorhees, NJ

Active since March 23, 2011CLIA 31D2020314 · Waiver
2301 EVESHAM RD, SUITE 505, VOORHEES, NJ 08043(856) 520-8718(856) 520-8719 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kwak Family Medicine, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KWAK FAMILY MEDICINE, PC (NPI 1386943819) is a healthcare organization registered as a primary care in Voorhees, New Jersey and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists James Jihoon Kwak, President, as its authorized official.

NPPES Registry Identity

NPI1386943819
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKWAK FAMILY MEDICINE, PC
Location Address2301 EVESHAM RD, SUITE 505Voorhees, NJ 08043-4506
Mailing Address139 Chancellor DrDeptford, NJ 08096-5158 · (856) 520-8718 · Fax (856) 520-8719
Phone(856) 520-8718
Fax(856) 520-8719
Organization SubpartNo
Authorized OfficialJames Jihoon KwakPresident · (856) 520-8718
Enumeration DateMarch 23, 2011
Last NPPES UpdateMarch 10, 2017
✔ NPI 1386943819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · 25MA07662200
2301 EVESHAM RD, Voorhees, NJ 08043
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kwak Family Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kwak Family Medicine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Kwak, M.D.
Family Practice
NPI 1578552865
2301 EVESHAM ROAD SUITE 505
Voorhees, NJ 08043
(856) 520-8718
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2020314

Kwak Family Medicine, PC · Voorhees, NJ
Active · expires Feb 15, 2027
CLIA Number31D2020314
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorJames J. Kwak
Laboratory Phone(856) 520-8718
Laboratory LocationKwak Family Medicine, PC2301 Evesham Road, Suite 505, Voorhees, NJ 08043
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kwak Family Medicine, PC's NPI number?

The NPI number for Kwak Family Medicine, PC is 1386943819. It was assigned to this organization in the NPPES registry on March 23, 2011.

Where is Kwak Family Medicine, PC located?

Kwak Family Medicine, PC is located at 2301 Evesham Rd Suite 505, Voorhees, NJ 08043. The listed phone number is (856) 520-8718.

What is Kwak Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Kwak Family Medicine, PC enrolled in Medicare?

Yes. Kwak Family Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kwak Family Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kwak Family Medicine, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kwak Family Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2020314) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kwak Family Medicine, PC was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.