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DR. JOYCE BLOSSOM KANG MD/PHD
NPI 1619779568
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 24, 2025PECOS Enrolled
3600 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-7883 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joyce Blossom Kang Md/phd NPPES

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

DR. JOYCE BLOSSOM KANG MD/PHD (NPI 1619779568) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619779568
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JOYCE BLOSSOM KANGCredential: MD/PHD
Location Address3600 SPRUCE STPhiladelphia, PA 19104-4211
Mailing Address3600 Spruce StPhiladelphia, PA 19104-4211 · (215) 662-7883
Phone(215) 662-7883
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1619779568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3600 SPRUCE ST, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joyce Blossom Kang Md/phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANA KIM CHOI MD
Dermatology
3600 SPRUCE ST, 2 MALONEY BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6151
KAYLEE NACZI MS
Genetic Counselor, MS
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3205
KATHRYN CLAIRE BENTIVEGNA MD, MPH
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7883
LAURA THERESA FERGUSON M.D.
Internal Medicine
3600 SPRUCE ST, 839 WEST GATES
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
DR. MICAH GAMBOA PASCUAL MD
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7883
NATALIA RODRIGUEZ
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2737
DR. JESSICA BROWN-KORSAH MD
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7883
SARA ISABELLE BANBURY
Student in an Organized Health Care Education/Training Program
3600 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7883

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 Joyce Kang's NPI number?

The NPI number for Joyce Kang is 1619779568. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Joyce Kang located?

Joyce Kang practices at 3600 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-7883.

What is Joyce Kang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joyce Kang enrolled in Medicare?

Yes. Joyce Kang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joyce Kang was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.