KINGS PARK MEDICINE PC
NPI 1609200716
Family Medicine in Kings Park, NY
About Kings Park Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINGS PARK MEDICINE PC (NPI 1609200716) is a healthcare organization registered as a family medicine in Kings Park, New York and active in the NPI registry since August 2013. The organization lists Weymin G Hago, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kings Park 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 Kings Park Medicine PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kings Park Medicine PC's NPI number?
The NPI number for Kings Park Medicine PC is 1609200716. It was assigned to this organization in the NPPES registry on August 26, 2013.
Where is Kings Park Medicine PC located?
Kings Park Medicine PC is located at 93 Main St Suite A, Kings Park, NY 11754. The listed phone number is (631) 292-2725.
What is Kings Park Medicine PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kings Park Medicine PC enrolled in Medicare?
Yes. Kings Park Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kings Park Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kings Park 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.
When was this NPI record last updated?
The NPPES record for Kings Park Medicine PC was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kings Park Medicine Pc · NPI 1609200716
Family Medicine organization in Kings Park, New York. Organization record, active in the CMS NPPES registry since August 26, 2013.
## Identity
- **NPI:** 1609200716 (Entity type: Organization)
- **Enumerated:** August 26, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Weymin Hago, MEDICAL DIRECTOR
## Practice location
- **Address:** 93 MAIN ST, SUITE A, Kings Park, NY 11754-2740
- **Phone:** (631) 292-2725 · **Fax:** (631) 292-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1609200716) · Data from the CMS NPPES public registry.