Doctor profile · Federal record
Dr. Su Ji Kwon, PA-C
Physician Assistant · Mineola, NY
- NPI 1811666290
- Accepts Medicare
- MIPS 84.5 / 100 · 2023
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
259 1St St
Mineola, NY 115013957
(516) 663-8312
Credentials & registration
- NPI registered
- September 2021 — 5 yrs on file
- Profile last updated
- February 18, 2023
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811666290. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$128
Transactions
6
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, INC | 5 | $106.43 | |
| Melinta Therapeutics, LLC | 1 | $21.78 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
181
Patients
78
Total drug cost
$12,301
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Metoprolol Succinate | Generic | 19 | 12 | $458 |
| Rosuvastatin Calcium | Generic | 19 | 0 | $1,273 |
| Valsartan | Generic | 17 | 0 | $737 |
| Amlodipine Besylate | Generic | 15 | 0 | $56 |
| Atorvastatin Calcium | Generic | 15 | 0 | $210 |
| Eliquis (Apixaban) | Brand | 15 | 14 | $8,133 |
| Metoprolol Tartrate | Generic | 15 | 0 | $154 |
| Torsemide | Generic | 15 | 13 | $221 |
| Pantoprazole Sodium | Generic | 14 | 14 | $141 |
| Cefpodoxime Proxetil | Generic | 13 | 13 | $543 |
Frequently asked questions
What is Dr. Su Ji Kwon's medical specialty?
Dr. Su Ji Kwon practices Physician Assistant in Mineola, NY.
Where does Dr. Su Ji Kwon practice?
Dr. Su Ji Kwon practices at 259 1St St, Mineola, NY 115013957. Office phone: 5166638312.
What is Dr. Su Ji Kwon's NPI?
Dr. Su Ji Kwon's National Provider Identifier (NPI) is 1811666290, issued by NPPES.
Does Dr. Su Ji Kwon accept Medicare assignment?
Yes. Dr. Su Ji Kwon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.