Individual provider Active NPI

George Juang, MD

  • Clinical Cardiac Electrophysiology Physician
  • Flushing, NY
National Provider Identifier
1003802547
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
206004 Issued in NY
Practice address
13630 Maple Ave Ste 1G
Flushing, NY 11355-3869
Phone
(718) 300-3368
Fax
(718) 888-7906
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 206004-1 NY
Cardiovascular Disease Physician 207RC0000X 206004 NY
Clinical Cardiac Electrophysiology Physician 207RC0001X 206004 NY Primary

Addresses

Primary practice location

13630 Maple Ave Ste 1G
Flushing, NY 11355-3869

Mailing address

13630 Maple Ave Ste 1G
Flushing, NY 11355-3869
Phone (718) 300-3368

Other identifiers 1

IdentifierTypeStateIssuer
02280977MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000245 NY Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3577542299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

13630 Maple Ave
Suite 1G
Flushing, NY 11355-3869
Phone (718) 300-3368

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
206004-1NYMDSpecialist
206004NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Heart and Arrhythmia Care of New York PLLC Clinical Cardiac Electrophysiology Current Accepting new patients
George J. Juang, M.D. PLLC Cardiovascular Disease CurrentSince Jan 12, 2015 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Mar 9, 2015 Accepting new patients
Booth Medical Associates PC Cardiovascular Disease Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Cruz-Lee-Llacer & Associates P a Past Accepting new patients

Locations

24818 Union Tpke
Bellerose, NY 11426
Phone (718) 300-3368

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

13630 Maple Ave
Ste 1G
Flushing, NY 11355
Phone (646) 801-0701

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1003802547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 1G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553869",
            "telephone_number": "718-300-3368",
            "fax_number": "718-888-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 1G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553869",
            "telephone_number": "718-300-3368",
            "fax_number": "718-888-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUANG",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "206004-1",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "206004",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NY",
            "license": "206004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02280977",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.