KENNY LUONG – Foot & Ankle Surgery Podiatrist, NPI 1962066076

KENNY LUONG is a healthcare provider. based in Passaic, New Jersey. specializing in PODIATRY. They hold a License No. 25MD00366800 (NJ). The NPI Number for KENNY LUONG is 1962066076

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
KENNY LUONG
NPI
1962066076
Phone
Not provided
Address
350 BOULEVARD
Enumeration Date
24 April 2019
Last Update Date
17 July 2022

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8453582844
Graduation Year
2019 (7 years ago)
PAC ID
9436532918
Group Practice PAC ID
1557253457
Professional Enrollment ID
I20220829002765
Address ID
NY109942220WE2XXXXAVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,076 PODIATRY in NJ

Loading map...

Provider Addresses for KENNY LUONG

  • St. Mary's General Hospital, 350, Boulevard, Passaic, Passaic County, New Jersey, 07055, United States

    PASSAIC, NJ 070552840

    Phone:

    Type: Mailing

  • 70 Hatfield Ln

    Goshen, NY 109246734

    Phone: (845) 294-1490

    Type: Location

  • 46 CONTINENTAL RD

    MORRIS PLAINS, NJ 079503406

    Phone:

    Type: Mailing

  • 2 CROSFIELD AVE

    WEST NYACK, NY 109942226

    Phone: (845) 358-2844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $11,856.

Total Amount is formed as General ($11,856) + Research ($0) + Ownership ($0) = $11,856.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: LifeNet Health ($9,612).

Total Amount

$11,856

General + Research + Ownership

Payments

62

Total payment records

General Amount

$11,856

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220816002045IPodiatryNYTBD
I20220829002765IPodiatryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes393237$0
11042Removal of skin and tissue, 20.0 sq cm or less35292$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes261109$0
99203New patient office or other outpatient visit, 30-44 minutes142142$0
11721Removal of fingernails or toenails, 6 or more nails11275$0
View full utilization report →

Insurance plans in this area (ZIP 07055)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557253457View full group profile
NameSpecialtyState
P O D I A T R YNY
P O D I A T R YNY
P O D I A T R YNY
P O D I A T R YNJ
-NJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for KENNY LUONG?
KENNY LUONG — NPI 1962066076 — is the standard way to identify this listing.
Does CMS list KENNY LUONG as active?
Yes — KENNY LUONG is active in the NPI listing used on this page.
What is KENNY LUONG best known for clinically?
Directory data describes KENNY LUONG with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for KENNY LUONG?
KENNY LUONG's geographic hint is Passaic, New Jersey in our summary view.
Is the information about KENNY LUONG up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

180, Lafayette Avenue, Passaic, Passaic County, New Jersey, 07055, United States
NPI: 1881677987

DR. ANAS KHOURY (D.P.M.)

Foot & Ankle Surgery Podiatrist
235, Main Avenue, Passaic, Passaic County, New Jersey, 07055, United States
NPI: 1841277571

NORTHEASTERN FOOT & ANKLE SPECIALISTS, PC

Foot & Ankle Surgery Podiatrist
235, Main Avenue, Passaic, Passaic County, New Jersey, 07055, United States
NPI: 1265505077

FOOT AND ANKLE CARE OF PASSAIC LLC

Foot & Ankle Surgery Podiatrist
393, Terhune Avenue, Passaic, Passaic County, New Jersey, 07055, United States
NPI: 1114089679

ALEX D BLANCO, DPM, LLC

Foot & Ankle Surgery Podiatrist
180 LAFAYETTE AVE
NPI: 1508998824

DR. YOKAIRA A. ESPIRITUSANTO (DPM)

Foot & Ankle Surgery Podiatrist
916 MAIN AVE STE 2A
NPI: 1144483769

Luciano Foot Doc

Foot & Ankle Surgery Podiatrist
159 HOWARD AVE
NPI: 1922392729
4633 HWY 9
NPI: 1083042139

LUCIAN M FERARU (DPM)

Student in an Organized Health Care Education/Training Program
500, Elizabeth Street, New Milford, Bergen County, New Jersey, 07646, United States
NPI: 1861980088