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JAEYEON KANG
NPI 1619785508
Nurse Practitioner - Primary Care in New York, NY

Active since December 23, 2024
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029(212) 241-5881 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaeyeon Kang NPPES

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

JAEYEON KANG (NPI 1619785508) is an individual primary care provider in New York, New York, licensed in New York (F311929) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1619785508
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJAEYEON KANG
Location Address1 GUSTAVE L LEVY PLNew York, NY 10029-6504
Mailing Address160 E 91st St Apt 6eNew York, NY 10128-2465 · (201) 714-1917
Phone(212) 241-5881
Sole ProprietorYes
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
✔ NPI 1619785508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · F311929
1 GUSTAVE L LEVY PL, New York, NY 10029
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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.

MRS. LAURA MANNING R.D., C.D.N.
Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
New York County (212) 241-9426
AMY JAYANT SANGHVI MD
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
New York County (212) 241-0748
MOUNT SINAI MEDICAL CENTER
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (800) 637-4624
ANURADHA LALA-TRINDADE
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 987-3100
RENA DYMERSKY RPA-C, MS
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500
JENNY H CHUNG PHARMD, RN, FNP-BC
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
New York County (212) 659-8006
ERIKA JACOBSON RD,CDN
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (917) 241-5633
SARAH ALICIA REDA
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500

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 Jaeyeon Kang's NPI number?

The NPI number for Jaeyeon Kang is 1619785508. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Where is Jaeyeon Kang located?

Jaeyeon Kang practices at 1 Gustave L Levy Pl, New York, NY 10029. The listed phone number is (212) 241-5881.

What is Jaeyeon Kang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Jaeyeon Kang was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.