Provider Demographics
NPI:1881638161
Name:HE-YEUN KAHNG, M.D.
Entity Type:Organization
Organization Name:HE-YEUN KAHNG, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HE-YEUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-739-0222
Mailing Address - Street 1:1 BETHANY RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1663
Mailing Address - Country:US
Mailing Address - Phone:732-739-0222
Mailing Address - Fax:732-739-2038
Practice Address - Street 1:1 BETHANY RD
Practice Address - Street 2:SUITE 3
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1663
Practice Address - Country:US
Practice Address - Phone:732-739-0222
Practice Address - Fax:732-739-2038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA39212208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KA446067Medicare ID - Type Unspecified
B13599Medicare UPIN