Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAKE S KWON, D.P.M.
Active Sole ProprietorDR. JAKE S KWON, D.P.M. is a Radiology Podiatrist healthcare provider located in BAYSIDE, New York. NPI 1629129887 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · BAYSIDE, NY
Registration Details
- NPI Number
- 1629129887
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2007 (19.620247845176 yrs)
- Last Updated
- Mar 5, 2026
- Licenses
-
N005468 (NY)25MD002511 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4232 FRANCIS LEWIS BLVD # CBAYSIDE, NY, 113612561Browse NY providers · Browse ZIP 11361
- Phone
- 6463896485
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Radiology Podiatrist Providers in BAYSIDE, NY
| Name | Credential | NPI |
|---|---|---|
| DR. NICHOLAS MEGDANIS | DPM | 1699851899 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.