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

Individual provider Physician Assistant · NPI 1114672383

John Kwon, PA-C is a Physician Assistant in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

23018 58th Ave Bsmt
Bayside, NY 11364-2454
Phone: (347) 259-4134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 028022-01 (NY)

Record details

NPI number1114672383
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 16, 2022
Last updated in NPPESSeptember 4, 2022
Certification dateSeptember 4, 2022
Mailing address23018 58th Ave Bsmt, Bayside, NY 11364-2454

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