ELISE MIN-JI KANG MD MS
NPI 1992200851
Pediatrics - Pediatric Transplant Hepatology in New York, NY

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
3959 BROADWAY, NEW YORK, NY 10032(212) 305-8504 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elise Min-ji Kang Md Ms NPPES

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

ELISE MIN-JI KANG MD MS (NPI 1992200851) is an individual pediatric transplant hepatology provider in New York, New York, licensed in New York (300852) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992200851
Entity TypeIndividualFemale
Primary Taxonomy2080T0004X
Provider Legal NameELISE MIN-JI KANGCredential: MD MS
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address3959 BroadwayNew York, NY 10032-1559
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1992200851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Transplant HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080T0004X
License Licensed in NY · 300852
Definition
A pediatrician with expertise in transplant hepatology encompasses the special knowledge and skill required of pediatric gastroenterologists to care for patients prior to and following hepatic transplantation; it spans all phases of liver transplantation.
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License 300852 (NY)
3959 BROADWAY, New York, NY 10032

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

Elise Min-ji Kang Md Ms 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 ID7719487883
PECOS Enrollment IDI20250822002610
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 20

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

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Elise Kang's NPI number?

The NPI number for Elise Kang is 1992200851. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Elise Kang located?

Elise Kang practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-8504.

What is Elise Kang's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Transplant Hepatology, with taxonomy code 2080T0004X.

Is Elise Kang enrolled in Medicare?

Yes. Elise Kang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elise Kang was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.