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

No Bong Kwak, MD

Individual provider Diagnostic Radiology Physician · NPI 1942528716

No Bong Kwak, MD is a Diagnostic Radiology in New Hyde Park, New York. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 2008, 18 years ago. Practices with Lucidsolutions Inc, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and New York.

Years since qualifying
18
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
MD, NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

270-05 76th Ave
New Hyde Park, NY 11040
Phone: (718) 470-4585
Fax: (718) 470-4345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 S Greene St, Baltimore, MD 21201-1544 — (410) 328-3477

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 256358 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence D0103512 (MD)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence D0103512 (MD)

Record details

NPI number1942528716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2010
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 2008 (18 years in practice)
Group practice Lucidsolutions Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in New Hyde Park