Active NPIIndividual providerSole proprietor

Youngjin Kwon, RN

Registered Nurse in Mount Vernon, New York

NPI Number1104740190
Practice location
11 W Prospect Ave, Mount Vernon, NY 10550-2017
Fax
—
Last updated
September 23, 2026

Youngjin Kwon is a Registered Nurse based in Mount Vernon, NY. Youngjin Kwon practices in Mount Vernon, NY and has the professional credentials of RN. The NPI Number for Youngjin Kwon is 1104740190 and holds a License No. 701319 (NY). The current practice location address for Youngjin Kwon is 11 W Prospect Ave, Mount Vernon, NY 10550-2017 and can be reached out via phone at 914-668-8938.

Provider Profile Details

NPI Number
1104740190
Provider Name
Youngjin Kwon
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
11 W Prospect Ave, Mount Vernon, NY 10550-2017
Phone Number
914-668-8938
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 5, 2026
Last Update Date
September 23, 2026
Certification Date
September 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 W Prospect Ave
Mount Vernon, NY 10550-2017
Zip
10550-2017
Phone Number
914-668-8938
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
845 N Broadway
White Plains, NY 10603-2403
City
White Plains
State
NY
Zip
10603-2403
Phone Number
914-761-0600

License Information

License Number
701319
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Youngjin Kwon, RN?

The NPI number of Youngjin Kwon, RN is 1104740190. It was assigned on August 5, 2026 and is currently active in the NPPES registry.

What is the specialty of Youngjin Kwon, RN?

Youngjin Kwon, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 701319.

Where does Youngjin Kwon, RN practice?

The practice location is 11 W Prospect Ave, Mount Vernon, NY 10550-2017. The office can be reached at 914-668-8938 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104740190 directly on the NPPES registry website.

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