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Kwon Podiatry Nj PC

NPI 1588382881ActiveOrganization· Podiatrist· Fort Lee, NJ

Podiatrist in Fort Lee, New Jersey, registered in NPPES in August 2022. The authorized official on file is Jake Kwon, DPM, President. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.

Overview

NPI1588382881
StatusActive
Entity typeOrganization
NPI issuedAug 22, 2022
Last updated in NPPESMar 5, 2026
Certified by providerMar 5, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist Primary213E00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Podiatry (NJ); Part B Supplier - Clinic/Group Practice (NJ)

Medicare sources and data years

Other podiatrists in Fort Lee

All podiatrists in New Jersey