DR. JAKE S KWON D.P.M. NPI 1629129887

NPI Information

  • NPI: 1629129887
  • Provider Name: DR. JAKE S KWON, D.P.M.
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4232 FRANCIS LEWIS BLVD # C
    BAYSIDE, NY
    ZIP 11361
  • Phone: (646) 389-6485

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NPI Details

DR. Jake S Kwon, D.P.M. is a primary podiatric medicine podiatrist in Bayside, NY with 1 years of experience. DR. Jake S Kwon, D.P.M. NPI is 1629129887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2025

The provider's business location address is:

4232 FRANCIS LEWIS BLVD # C
BAYSIDE, NY
ZIP 11361-561
Phone: (646) 389-6485

The NPI 1629129887 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Simple separation of fingernail or toenail from nail bed, each additional nail (HCPCS:11732)
  • Simple or single drainage of skin abscess (HCPCS:10060)

The enumeration date for this NPI number is 1/15/2007 and was last updated on 7/27/2022.

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
1213ES0103XPodiatristFoot & Ankle Surgery25MD002511NEW JERSEYNo
2213EP1101XPodiatristPrimary Podiatric MedicineN005468NEW YORKYes

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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