DASOL KANG MD
NPI 1669033130
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Dasol Kang's NPI number?

The NPI number for Dasol Kang is 1669033130. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Q: What is Dasol Kang's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dasol Kang was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 25, 2019PECOS EnrolledAccepts Medicare Assignment

234 E 149TH ST, BRONX, NY 10451(718) 579-5874 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dasol Kang Md NPPES

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

DASOL KANG MD (NPI 1669033130) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669033130

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDASOL KANGCredential: MD

Location Address234 E 149TH STBronx, NY 10451-5504

Mailing Address234 E 149th StBronx, NY 10451-5504 · (718) 579-5874

Phone(718) 579-5874

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 25, 2019

✔ NPI 1669033130 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.

234 E 149TH ST, Bronx, NY 10451

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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 and accepts Medicare assignment

Dasol Kang Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658712245

PECOS Enrollment IDI20241120000139

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lincoln Medical & Mental Health Center

Acute Care Hospitals · Bronx, NY

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number330080

Location234 East 149th StreetBronx, NY 10451 · Bronx County

Emergency services Birthing friendly

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.

DR. THOMAS HENRY PARRY M.D.

Emergency Medicine