Individual provider

Moonwha Kang, N.P

Gerontology Nurse Practitioner Adult Health Nurse Practitioner Medicare enrolled

Moonwha Kang, N.P is a Gerontology Nurse Practitioner in Mamaroneck, NY, registered under NPI 1790035004. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 845 PALMER AVE DEPT OF, Mamaroneck, NY 10543. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

845 PALMER AVE DEPT OF, Mamaroneck, NY 10543 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
F340829 NY Gerontology Nurse Practitioner primary
F305931 NY Adult Health Nurse Practitioner

This provider holds licence F340829 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
4587960364

Enrolled in Medicare 3 times, across 3 states:

StateEnrollment IDProvider type
New York I20160816001662 Practitioner - Nurse Practitioner
New Jersey I20231130001875 Practitioner - Nurse Practitioner
Texas I20231229000189 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 3 separate enrolment records across 3 states (NY, NJ, TX). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Gerontology covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LG0600X Gerontology Nurse Practitioner Gerontology F340829 NY primary
363LA2200X Adult Health Nurse Practitioner Adult Health F305931 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790035004 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 13, 2012
Last updatedOct 17, 2018
StatusActive
Sole proprietorNo
CredentialN.P
Practice address 845 PALMER AVE DEPT OF
Mamaroneck, NY 10543
(914) 864-5857
Fax (914) 864-5859
Other identifiers A400150755 · Other (NY)
03574701 · Medicaid (NY)
The last update on file is Oct 17, 2018. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1790035004 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 0 3 5 0 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 0 3 1 0 0

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790035004?
NPI 1790035004 is the National Provider Identifier assigned to Moonwha Kang, N.P in Mamaroneck, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gerontology cover?
Definition to come...
How do I contact Moonwha Kang, N.P?
The phone number on file with NPPES is (914) 864-5857, last updated Oct 17, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Moonwha Kang, N.P accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790035004 a valid number?
Yes. 1790035004 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.