MIN JEFFREY KONG (NPI# 1972097863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972097863 |
| Entity Type | Individual |
| Full Name | MIN JEFFREY KONG |
| Credential | MD |
| Practice Address |
4725 N Federal Hwy Fort Lauderdale FL 33308-4603 |
| Practice Telephone | 5625052523 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R77287 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5777 E Mayo Blvd, Phoenix, AZ 850544502 | 4803421800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679900369 | Min Kong | Registered Nurse | 29 Moore St Apt 3f, Brooklyn, NY 11206-3935 | 2013-09-26 |
| Street Address |
4725 N FEDERAL HWY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803067 | Richard M Luceri | Internal Medicine | 4725 N Federal Hwy, Jim Moran Heart Center, Suite 502, Fort Lauderdale, FL 33308-4603 | 2005-07-05 |
| 1285250902 | Suzanne Grace Forum | Nurse Anesthetist, Certified Registered | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-06-18 |
| 1700400439 | Chisom Anyanwoke | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-05-28 |
| 1508489972 | Stephanie Coriolan Belancourt | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-05-20 |
| 1043833544 | Rachel Fayne | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-05-19 |
| 1952924458 | Mahtab Forouzandeh | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-05-19 |
| 1326667775 | Eduardo Arturo Villa | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-04-15 |
| 1629697024 | Yaisa Beatriz Moreno Hernandez | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-04-15 |
| 1063031433 | Ashlyn Elizabeth Reiser | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-04-15 |
| 1982223236 | Jonathan Paul Amodio | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033411079 | Stanley Margulies | Radiology | 3241 Sw 51st St, Fort Lauderdale, FL 33312-7916 | 2010-11-24 |
| 1518059781 | Health Diagnostics of Fort Lauderdale LLC | Radiology | 4616 N Federal Hwy, Fort Lauderdale, FL 33308-5206 | 2006-09-28 |
| 1265417695 | Michael Digiorgio | Radiology | 1801 S Perimeter Rd, Suite 180, Fort Lauderdale, FL 33309-7139 | 2005-12-08 |
| 1306820295 | North Broward Radiologists, P.a. | Radiology | 2000 W Commercial Blvd, Fort Lauderdale, FL 33309-3060 | 2005-12-03 |
| 1710972617 | Michael Yuz | Radiology | 3201 N Federal Hwy Ste 212, Fort Lauderdale, FL 33306-1060 | 2005-09-16 |
| 1275997934 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 3020 Ne 32nd Ave, Apt 910, Fort Lauderdale, FL 33308-7221 | 2016-04-08 |
| 1184088833 | Ics Radiology, Inc. | Radiology | 3020 Ne 32nd Ave, Apt 910, Fort Lauderdale, FL 33308-7221 | 2016-04-08 |
| 1396109047 | Florida United Radiology, L.c. | Radiology | 3020 Ne 32nd Ave, Apt 910, Fort Lauderdale, FL 33308-7221 | 2016-04-08 |
| 1629439658 | Sheridan Radiology Services of Pinellas, Inc. | Radiology | 3020 Ne 32nd Ave, Apt 910, Fort Lauderdale, FL 33308-7221 | 2016-03-18 |
| 1932527835 | Matthew Walsh | Radiology | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2014-03-29 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.