ETHAN KWANGWON KONG (NPI# 1669080958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669080958 |
| Entity Type | Individual |
| Full Name | ETHAN KWANGWON KONG |
| Credential | DDS |
| Practice Address |
2935 John F Kennedy Blvd Apt 713 Jersey City NJ 07306-3882 |
| Practice Telephone | 5857385621 |
| Mailing Telephone | 5857385621 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12833 | CT | Dental Providers |
| Street Address |
2935 JOHN F KENNEDY BLVD APT 713 |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07306-3882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655186 | Hazem Shokry Mohamed Abdelhafez | Physical Therapist | 2 Vroom St, 4 R Apt, Jersey City, NJ 07306 | 2020-06-26 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| 1932679909 | Morgan Teeratananon | Occupational Therapist | 2854 John Fitzgerald Kennedy Blvd, Jersey City, NJ 07306 | 2018-12-03 |
| 1255824892 | Best Home Care Inc | Home Health | 879 Bergen Avenue, Ste 200, Ste 200, Jersey City, NJ 07306 | 2018-06-08 |
| 1518455203 | New Jersey Weight Loss & Surgery PC | Surgery | 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 | 2018-04-27 |
| 1225546922 | Chungmoo Huh | Acupuncturist | 720 Bergen Ave, Jersey City, NJ 07306 | 2018-01-16 |
| 1215451042 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2859 61 Kennedy Blvd, Jersey City, NJ 07306 | 2017-08-02 |
| 1447789128 | Krishna Shah | Physical Therapist | 43 Central Avenue, Jersey City, NJ 07306 | 2017-06-07 |
| 1275075749 | Jersey City Home Care | Home Health | 780 Newark Avenue Suite #203, Jersey City, NJ 07306 | 2016-11-15 |
| 1356752380 | Dina Ibrahim | Podiatrist | 550 Newark Ave Ste 307, Jersey City, NJ 07306 | 2014-05-13 |
| Find all providers in zip 07306 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463086 | Mina Youssef | Dentist | 821 Bergen Ave Apt B2, Jersey City, NJ 07306-4522 | 2020-09-28 |
| 1043863038 | Khalid Sky Dermoumi | Dentist | 1 Albert Pl, Jersey City, NJ 07305-3915 | 2019-07-19 |
| 1467939793 | Vinh Q Ly | Dentist | 3630 John F Kennedy Blvd, Jersey City, NJ 07307-3204 | 2018-07-19 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1376994814 | Kamy Mehta | Dentist | 100 Newkirk St Apt 7g, Jersey City, NJ 07306-3197 | 2016-06-27 |
| 1184054645 | Modern Family Dentistry | Dentist | 551 Jersey Ave, Ground Floor, Jersey City, NJ 07302-2788 | 2013-11-20 |
| 1801161815 | Freeman & Freeman,p.c | Dentist | 2403 Kennedy Blvd, Jersey City, NJ 07304-1909 | 2012-03-09 |
| 1124311337 | Anjali Aggarwal | Dentist | 33-1606 Hudson St, Jersey City, NJ 07302-6524 | 2011-05-20 |
| 1982996641 | Min Park | Dentist | 270 Marin Blvd Apt 11q, Jersey City, NJ 07302-3680 | 2011-05-12 |
| 1629387014 | Florin Traistaru | Dentist | 30 Mill Rd, Jersey City, NJ 07302-3106 | 2010-10-01 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07306 |
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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.