Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jake S Kwon, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1629129887

Dr. Jake S Kwon, DPM is a Podiatry in Bayside, New York. Graduated from Wake Forest University School of Medicine in 2025, 1 year ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
1
Trained at
Wake Forest University School of Medicine
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

4232 Francis Lewis Blvd # C
Bayside, NY 11361-2561
Phone: (646) 389-6485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence N005468 (NY)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 25MD002511 (NJ)

Record details

NPI number1629129887
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJanuary 15, 2007
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address81 Pilgrim Ln, Westbury, NY 11590-6218

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bayside