Dr. Jenny A Hwang, Ph.D.
Psychologist, Clinical in Port Jefferson Station, NY. Individual provider (NPI-1).
Details
- NPI
- 1316168917
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jenny A Hwang
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2007
- Last updated
- Jan 9, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- Medicare opt-out
- Jan 1, 2016 to Jan 1, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 017067-1 | NY | Yes |
Practice location
1050 Hallock AveSuite 1
Port Jefferson Station, NY 11776-1214
Phone 631-384-8461 · Fax 631-632-9754
Mailing address
1050 Hallock AvePort Jefferson Station, NY 11776-1214
Phone 631-384-8461 · Fax 631-632-9754
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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