Hanjo Kwon-Anderson, D.O.
NPI 1134506173 · Public Health & General Preventive Medicine Physician · Northport, NY
Enrolled with Medicare as Order and Referring Only - Preventive Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hanjo Kwon-Anderson, D.O. is a Public Health & General Preventive Medicine Physician provider in Northport, NY (NPI 1134506173).
Provider details
- NPI number
- 1134506173
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 287807 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- Stony Brook University HospitalDepartment of Pediatrics Hsc T-11/040Stony Brook, NY 11794-8111Phone: (631) 444-2020Fax: (631) 444-2894
Registry dates
- Enumerated
- 2015-04-28
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Frequently asked questions
- What is Hanjo Kwon-Anderson's NPI number?
- Hanjo Kwon-Anderson's National Provider Identifier (NPI) is 1134506173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hanjo Kwon-Anderson's specialty?
- Hanjo Kwon-Anderson is listed in the NPPES registry with a primary specialty of Public Health & General Preventive Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hanjo Kwon-Anderson located?
- Hanjo Kwon-Anderson's practice location on file with NPPES is 79 Middleville Rd Va Medical Center, Northport, NY 11768-2200.
- What is Hanjo Kwon-Anderson's phone number?
- The practice phone number listed in the NPPES registry for Hanjo Kwon-Anderson is (631) 261-4400.
- Does Hanjo Kwon-Anderson accept Medicare?
- Hanjo Kwon-Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hanjo Kwon-Anderson's NPI active?
- Yes — Hanjo Kwon-Anderson's NPI (1134506173) is active in the NPPES registry as of the last update on 2021-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.