KWANG JOO MD NPI 1427013341

NPI Information

NPI: 1427013341
Provider Name: KWANG JOO, MD
Classification: Nuclear Medicine - 207UN0902X
Specialization: Nuclear Imaging & Therapy
Entity Type: Individual
Address: 2950 ELMWOOD AVE
KENMORE MERCY HOSPITAL
KENMORE, NY
ZIP 14217
Phone: (716) 853-1616

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NPI Details

Kwang Joo, MD is a nuclear imaging and therapy nuclear medicine in Kenmore, NY. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. Kwang Joo, MD NPI is 1427013341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2950 ELMWOOD AVE
KENMORE MERCY HOSPITAL
KENMORE, NY
ZIP 14217-304
Phone: (716) 853-1616
Fax: (716) 829-2348

The enumeration date for this NPI number is 4/20/2006 and was last updated on 11/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy	131744	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00865210	MEDICAID	NEW YORK
2	131744	MEDICARE UPIN	NEW YORK
3	BB3475	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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