KACY EUNKYUNG IN (NPI# 1124453311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124453311 |
| Entity Type | Individual |
| Full Name | KACY EUNKYUNG IN |
| Credential | APN |
| Practice Address |
817 Rahway Ave Elizabeth Elizabeth NJ 07202-2212 |
| Mailing Address |
3 Stratford Rd Englewood Cliffs Englewood Cliffs NJ 07632-1925 |
| Practice Telephone | 9083535750 |
| Mailing Telephone | 2019440670 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00410200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
817 RAHWAY AVE ELIZABETH |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07202-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760553838 | Narendra Narottamdas Saraiya | Pediatrics | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2006-11-12 |
| 1144872730 | Stefany Morales Rodriguez | Nurse Practitioner | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2019-07-12 |
| 1962939215 | Ravikiran Iyengar | Physician Assistant | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2017-05-17 |
| 1831379841 | Union County Pediatrics Group Inc | Pediatrics | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2007-11-07 |
| 1053466672 | Amita N Patel | Pediatrics | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2007-01-24 |
| 1760555007 | Raghunandan Sundaram | Pediatrics | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
| 1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
| 1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
| 1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
| 1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
| 1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
| 1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
| 1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
| 1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| Find all providers in zip 07202 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335038 | Claudia Janneth Charry | Nurse Practitioner | 744 Grier Ave, Elizabeth, NJ 07202-2524 | 2020-01-16 |
| 1033681390 | Novil Kaur | Nurse Practitioner | 240 Williamson St Ste 305, Elizabeth, NJ 07202-3672 | 2018-12-27 |
| 1033699525 | Dodie Gordon Daniels | Nurse Practitioner | 504 W. Main Street, Elizabeth, LA 70638 | 2018-08-15 |
| 1932602976 | Jennifer Huffman | Nurse Practitioner | 461 Schoolview St, Elizabeth, WV 26143-0400 | 2018-03-15 |
| 1184147787 | Melanie Welch | Nurse Practitioner | 4855 Highway 10 Ste C, Elizabeth, LA 70638-4800 | 2017-07-25 |
| 1174072029 | Fatima Ibrahim | Nurse Practitioner | 570 Cherry St, Elizabeth, NJ 07208-1748 | 2016-10-03 |
| 1588021836 | Angela Dawn Crowe | Nurse Practitioner | 461 Schoolview Street, Elizabeth, WV 26143 | 2016-01-18 |
| 1134526759 | Fehintola Ogunsakin | Nurse Practitioner | 288 N Broad St Fl 2a, Elizabeth, NJ 07208-3711 | 2014-11-25 |
| 1619379641 | Felicia Greulich | Nurse Practitioner | 240-242 W Jersey St, Elizabeth, NJ 07202-1371 | 2014-09-22 |
| 1649586496 | Julia Ann Bosworth | Nurse Practitioner | 11999 Casino Center Dr Se, Elizabeth, IN 47117-7753 | 2010-08-30 |
| Find all providers in ELIZABETH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.