Porleng Hong, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2264126 Issued in MA

Practice address

29 Market SQ
Lynn, MA 01905-2420

Phone

(781) 596-3500

NPI assigned

Oct 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lowell Community Health Center, Inc.Group PAC ID 6204807944, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lowell General Hospital Hospital, Lowell, MA, CCN 220063

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phong19621@direct.ctc.masshiway.net

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.

• Lowell Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lowell, MA
  • NPI 1952307530
  Medicare reassignment Care Compare group NPD
• Lowell Community Health Center, Inc.

  • Community/Retail Pharmacy
  • Lowell, MA
  • NPI 1295587368
  NPD
• Lynn Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lynn, MA
  • NPI 1013997691
  NPD (past)

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

• The Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1023413200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GALLOWAY RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241915",
            "telephone_number": "978-888-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MARKET SQ",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052420",
            "telephone_number": "781-596-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "PORLENG",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2264126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly John Holland, M.D.
• Richard Alan Hollett
• Karen Tardif Hollowell, REGISTERED NURSE
• Rhonda F Holmes
• Carol Wong Holtzman, PHARMD
• Whitney Elizabeth Hong, N.P.
• Gregory Kyle Hood, PA
• Tina Hoofnagle, LICSW
• Lauren Elizabeth Hook
• Elizabeth Jean Hortie, LICSW

• Family Nurse Practitioner in Lynn, MA
• Providers in Lynn, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.