DR. JEREMY SOONHYOUK KWON MD
NPI 1902483506
Internal Medicine in Hackensack, NJ

Q: What is Jeremy Kwon's NPI number?

The NPI number for Jeremy Kwon is 1902483506. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Jeremy Kwon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Kwon was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 28, 2021PECOS EnrolledAccepts Medicare Assignment

30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2000(508) 213-3602 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2024, Mar 28, 2021 (2 updates tracked since 2021).

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About Dr. Jeremy Soonhyouk Kwon Md NPPES

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

DR. JEREMY SOONHYOUK KWON MD (NPI 1902483506) is an individual internal medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA12141700) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Boston University School Of Medicine (2021).

NPPES Registry Identity

NPI1902483506

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JEREMY SOONHYOUK KWONCredential: MD

Location Address30 PROSPECT AVEHackensack, NJ 07601-1915

Mailing Address12 1/2 Wells StWorcester, MA 01604-1728 · (201) 655-0661 · Fax (508) 213-3602

Phone(551) 996-2000

Fax(508) 213-3602

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2021

Enumeration DateMarch 28, 2021

Last NPPES UpdateApril 24, 20242 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1902483506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA12141700

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

30 PROSPECT AVE, Hackensack, NJ 07601

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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

Dr. Jeremy Soonhyouk Kwon 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 ID6709288541

PECOS Enrollment IDI20250123003352

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

30 services13 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services14 patients

Hospital Affiliations CMS Care Compare

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 20

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

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)