Doctor profile · Federal record

Dr. Moonwha Kang, N.P

Gerontology Nurse Practitioner · Adult Health Nurse Practitioner · Mamaroneck, NY

  • NPI 1790035004
  • 14 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
845 Palmer Ave Dept of
Mamaroneck, NY 10543
(914) 864-5857
fax (914) 864-5859
Additional location
462 1St Ave, 15E30
New York, NY 100169196
(212) 562-6859
fax (212) 562-1038

Credentials & registration

NPPES · NUCC
NPI registered
September 2012 — 14 yrs on file
Profile last updated
October 17, 2018
Specialty taxonomy
363LG0600X — NUCC code
State licenses (2)
New York #F340829 · New York #F305931
Medicaid
NY #03574701

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1790035004. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$62
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Neurocrine Biosciences, INC. 1 $38.89
Lilly USA, LLC 1 $23.07

By nature of payment

Food and Beverage
$62

Frequently asked questions

Auto-generated from federal data
What is Dr. Moonwha Kang's medical specialty?
Dr. Moonwha Kang practices Gerontology Nurse Practitioner in Mamaroneck, NY.
Where does Dr. Moonwha Kang practice?
Dr. Moonwha Kang practices at 845 Palmer Ave Dept of, Mamaroneck, NY 10543. Office phone: 9148645857.
What is Dr. Moonwha Kang's NPI?
Dr. Moonwha Kang's National Provider Identifier (NPI) is 1790035004, issued by NPPES.