Provider Demographics
NPI:1114548500
Name:AMI KANG THERAPY
Entity Type:Organization
Organization Name:AMI KANG THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMI
Authorized Official - Middle Name:P
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-266-4837
Mailing Address - Street 1:80 RIVER ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-8839
Mailing Address - Country:US
Mailing Address - Phone:732-266-4837
Mailing Address - Fax:
Practice Address - Street 1:277 GROVE ST STE 202
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3601
Practice Address - Country:US
Practice Address - Phone:732-266-4837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)