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MOONWHA KANG N.P
NPI 1790035004
Nurse Practitioner - Gerontology in Mamaroneck, NY

Active since September 13, 2012PECOS Enrolled
845 PALMER AVE DEPT OF, MAMARONECK, NY 10543(914) 864-5857(914) 864-5859 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2018, Dec 19, 2015 (2 updates tracked since 2015).

About Moonwha Kang N.p NPPES

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

MOONWHA KANG N.P (NPI 1790035004) is an individual gerontology provider in Mamaroneck, New York, licensed in New York (F340829) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1790035004
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMOONWHA KANGCredential: N.P
Location Address845 PALMER AVE DEPT OFMamaroneck, NY 10543
Mailing Address845 Palmer Ave Dept OfMamaroneck, NY 10543-2406 · (914) 864-5857 · Fax (914) 864-5859
Phone(914) 864-5857
Fax(914) 864-5859
Sole ProprietorNo
Enumeration DateSeptember 13, 2012
Last NPPES UpdateOctober 17, 20182 updates tracked since enumeration
✔ NPI 1790035004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NY · F340829
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F305931 (NY)
845 PALMER AVE DEPT OF, Mamaroneck, NY 10543
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Secondary Practice Location 1

Location 1462 1st Ave, 15E30New York, NY 10016-9196 · Phone (212) 562-6859 · Fax (212) 562-1038

Other Identifiers 2

OtherA400150755NY · Medicare
Medicaid03574701NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moonwha Kang N.p 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10543 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

LAURIE POSNER MD
Internal Medicine
845 PALMER AVE DEPT OF
MAMARONECK, NY 10543
Westchester County (914) 864-5856

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 Moonwha Kang's NPI number?

The NPI number for Moonwha Kang is 1790035004. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Where is Moonwha Kang located?

Moonwha Kang practices at 845 Palmer Ave Dept Of, Mamaroneck, NY 10543. The listed phone number is (914) 864-5857.

What is Moonwha Kang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Moonwha Kang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Moonwha Kang was last updated on October 17, 2018. 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.