Provider Profile

Su Ji Kwon, PA-C

Unclaimed Profile

About Su Ji Kwon

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Education & Training

School Other Graduated: 2021

Specialty

Physician Assistant (Primary)

Credentials & Licensing

NPI1811666290
NPI issued09/09/2021

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Su Ji Kwon specialize in?

Su Ji Kwon is a physician assistant in Mineola, NY. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Su Ji Kwon located?

Su Ji Kwon is listed at 259 1St St, Mineola, NY 11501. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Su Ji Kwon's phone number?

The number on file is (516) 663-8312. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Su Ji Kwon's NPI number?

Su Ji Kwon's National Provider Identifier is 1811666290. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Su Ji Kwon train?

Su Ji Kwon attended Other, graduating in 2021. This comes from the CMS National Downloadable File.

CMS public data

How long has Su Ji Kwon been practicing?

Su Ji Kwon has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.

CMS public data

Has Su Ji Kwon confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Su Ji Kwon. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.