JEONG HYUN HWANG
NPI 1629863428
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 11, 2025PECOS Enrolled
22101 MOROSS RD STE 50, DETROIT, MI 48236(313) 343-7774 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeong Hyun Hwang NPPES

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

JEONG HYUN HWANG (NPI 1629863428) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629863428
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEONG HYUN HWANG
Location Address22101 MOROSS RD STE 50Detroit, MI 48236-2148
Mailing Address22201 Moross Rd Ste 50Detroit, MI 48236-2166 · (313) 343-7774
Sole ProprietorNo
Enumeration DateApril 11, 2025
NPPES CertifiedApril 11, 2025
NPI 1629863428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

22101 MOROSS RD STE 50, Detroit, MI 48236

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeong Hyun Hwang 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 4

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

Internal Medicine
22101 MOROSS RD STE 50, ST. JOHN HOSPITAL AND MEDICAL CENTER
DETROIT, MI 48236
Internal Medicine
22101 MOROSS RD STE 50
DETROIT, MI 48236
Student in an Organized Health Care Education/Training Program
22101 MOROSS RD STE 50
DETROIT, MI 48236
Student in an Organized Health Care Education/Training Program
22101 MOROSS RD STE 50
DETROIT, MI 48236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629863428, enumerated as an "individual" on April 11, 2025.

The provider is located at 22101 MOROSS RD STE 50 DETROIT, MI 48236 and the phone number is (313) 343-7774.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.