Individual provider Active NPI

Jiangcong Liang, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1053027748
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
27 Smith St FL 5
Brooklyn, NY 11201-5111
Phone
(718) 488-0001
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

27 Smith St FL 5
Brooklyn, NY 11201-5111

Mailing address

260 Gold St Apt 504
Brooklyn, NY 11201-2294

Other practice location 1

2632 Atlantic Ave
Brooklyn, NY 11207-2425
Phone (718) 473-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122000246 NY Practitioner - Occupational Therapist in Private Practice 8628420049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 17, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jan 17, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

27 Smith St
Fl 5
Brooklyn, NY 11201
Phone (718) 488-0001

672 Parkside Ave
Brooklyn, NY 11226
Phone (718) 246-5700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1053027748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GOLD ST APT 504",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SMITH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015111",
            "telephone_number": "718-488-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2632 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072425",
            "country_code": "US",
            "telephone_number": "718-473-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIANG",
        "first_name": "JIANGCONG",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.