Individual provider · Type 1 NPI
Jake S. Kwon, D.P.M.
Primary Podiatric Medicine Podiatrist · Bayside, NY
NPI number
1629129887
Active
Practice location
4232 Francis Lewis Blvd # C
Bayside, NY 11361-2561
Mailing address
81 Pilgrim Ln
Westbury, NY 11590-6218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | N005468 (NY) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD002511 (NJ) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Other primary podiatric medicine podiatrist providers in Bayside
About NPI 1629129887
Jake S. Kwon, D.P.M.'s National Provider Identifier is 1629129887, issued on Jan 15, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Bayside, NY. The record was last updated on Mar 5, 2026.