JILLIAN MARIE KWAK
NPI 1992539845
Nurse Practitioner - Family in New York, NY

Q: What is Jillian Kwak's NPI number?

The NPI number for Jillian Kwak is 1992539845. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Q: What is Jillian Kwak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jillian Kwak was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 30, 2024

315 E 86TH ST APT 2DE, NEW YORK, NY 10028(570) 262-2476 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jillian Marie Kwak NPPES

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

JILLIAN MARIE KWAK (NPI 1992539845) is an individual family provider in New York, New York, licensed in New York (354987) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1992539845

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJILLIAN MARIE KWAK

Location Address315 E 86TH ST APT 2DENew York, NY 10028-4761

Mailing Address315 E 86th St Apt 2deNew York, NY 10028-4761 · (570) 262-2476

Phone(570) 262-2476

Sole ProprietorNo

Enumeration DateAugust 30, 2024

NPPES CertifiedAugust 30, 2024

✔ NPI 1992539845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 354987

315 E 86TH ST APT 2DE, New York, NY 10028

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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 Jillian Kwak's NPI number?

The NPI number for Jillian Kwak is 1992539845. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Jillian Kwak located?

Jillian Kwak practices at 315 E 86th St Apt 2de, New York, NY 10028. The listed phone number is (570) 262-2476.

What is Jillian Kwak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jillian Kwak was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.