Dr. Jeremy S Kwon, MD
Internal Medicine in Hackensack, New Jersey
1902483506- Practice location
- 30 Prospect Ave, Hackensack, NJ 07601-1915
- Phone
- 551-996-2000
- Fax
- 508-213-3602
- Last updated
- April 24, 2024
Jeremy Soonhyouk Kwon is an Internal Medicine based in Hackensack, NJ. Jeremy Soonhyouk Kwon practices in Hackensack, NJ and has the professional credentials of MD. The NPI Number for Jeremy Soonhyouk Kwon is 1902483506 and holds a License No. 25MA12141700 (NJ). The current practice location address for Jeremy Soonhyouk Kwon is 30 Prospect Ave, Hackensack, NJ 07601-1915 and can be reached out via phone at 551-996-2000 and via fax at 508-213-3602.
Provider Profile Details
- NPI Number
- 1902483506
- Provider Name
- Jeremy Soonhyouk Kwon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 30 Prospect Ave, Hackensack, NJ 07601-1915
- Phone Number
- 551-996-2000
- Fax Number
- 508-213-3602
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 28, 2021
- Last Update Date
- April 24, 2024
- Certification Date
- April 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-1915
- Phone Number
- 551-996-2000
- Fax Number
- 508-213-3602
Provider Business Mailing Address Details
- Address
- 12 1/2 Wells St
Worcester, MA 01604-1728 - City
- Worcester
- State
- MA
- Zip
- 01604-1728
- Phone Number
- 201-655-0661
- Fax Number
- 508-213-3602
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MA12141700
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine · 207R00000X · 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 Dr. Jeremy S Kwon, MD?
The NPI number of Dr. Jeremy S Kwon, MD is 1902483506. It was assigned on March 28, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeremy S Kwon, MD?
Dr. Jeremy S Kwon, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA12141700.
Where does Dr. Jeremy S Kwon, MD practice?
The practice location is 30 Prospect Ave, Hackensack, NJ 07601-1915. The office can be reached at 551-996-2000 (phone) or 508-213-3602 (fax).
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 1902483506 directly on the NPPES registry website.