Active NPIIndividual providerSole proprietor

Mrs. Eun Jung Kwak, NP

Nurse Practitioner, Adult Health in Livingston, New Jersey

NPI Number1386975118
Practice location
21 Lockhern Dr, Livingston, NJ 07039-6224
Fax
—
Last updated
January 18, 2010

Eun Jung Kwak is a Nurse Practitioner, Adult Health based in Livingston, NJ. Eun Jung Kwak practices in Livingston, NJ and has the professional credentials of NP. The NPI Number for Eun Jung Kwak is 1386975118 and holds a License No. F303368 (NY). The current practice location address for Eun Jung Kwak is 21 Lockhern Dr, Livingston, NJ 07039-6224 and can be reached out via phone at 646-229-8344.

Provider Profile Details

NPI Number
1386975118
Provider Name
Eun Jung Kwak
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
21 Lockhern Dr, Livingston, NJ 07039-6224
Phone Number
646-229-8344
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
January 18, 2010
Last Update Date
January 18, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Lockhern Dr
Livingston, NJ 07039-6224
Zip
07039-6224
Phone Number
646-229-8344
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
21 Lockhern Dr
Livingston, NJ 07039-6224
City
Livingston
State
NJ
Zip
07039-6224
Phone Number
646-229-8344

License Information

License Number
F303368
License State
NY
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Mrs. Eun Jung Kwak, NP?

The NPI number of Mrs. Eun Jung Kwak, NP is 1386975118. It was assigned on January 18, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Eun Jung Kwak, NP?

Mrs. Eun Jung Kwak, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NY under license number F303368.

Where does Mrs. Eun Jung Kwak, NP practice?

The practice location is 21 Lockhern Dr, Livingston, NJ 07039-6224. The office can be reached at 646-229-8344 (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 1386975118 directly on the NPPES registry website.

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