Edwin Kang, PA-C
Physician Assistant in Newark, New Jersey
1598292815- Practice location
- 617 Broad St, Newark, NJ 07102-4403
- Phone
- 862-246-7940
- Fax
- —
- Last updated
- December 3, 2021
Edwin Kang is a Physician Assistant based in Newark, NJ. Edwin Kang practices in Newark, NJ and has the professional credentials of PA-C. The NPI Number for Edwin Kang is 1598292815 and holds a License No. 25MP00436000 (NJ). The current practice location address for Edwin Kang is 617 Broad St, Newark, NJ 07102-4403 and can be reached out via phone at 862-246-7940.
Provider Profile Details
- NPI Number
- 1598292815
- Provider Name
- Edwin Kang
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 617 Broad St, Newark, NJ 07102-4403
- Phone Number
- 862-246-7940
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 17, 2017
- Last Update Date
- December 3, 2021
- Certification Date
- December 3, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 617 Broad St
Newark, NJ 07102-4403 - City
- Newark
- State
- New Jersey
- Zip
- 07102-4403
- Phone Number
- 862-246-7940
Provider Business Mailing Address Details
- Address
- 111 Central Ave
Newark, NJ 08844 - City
- Newark
- State
- NJ
- Zip
- 08844
License Information
- License Number (1)
- 25MP00436000
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 25MP00436000
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Edwin Kang, PA-C?
The NPI number of Edwin Kang, PA-C is 1598292815. It was assigned on May 17, 2017 and is currently active in the NPPES registry.
What is the specialty of Edwin Kang, PA-C?
Edwin Kang, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00436000.
Where does Edwin Kang, PA-C practice?
The practice location is 617 Broad St, Newark, NJ 07102-4403. The office can be reached at 862-246-7940 (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 1598292815 directly on the NPPES registry website.