Active NPI
Baoen Jiang Medicine P.C.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1053598417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 214423
- Legal business name
- BAOEN JIANG MEDICINE P.C.
- Practice address
- 8 Chatham SQ
Suite 301
New York, NY 10038-1000 - Phone
- (212) 964-9498
- Fax
- (212) 566-0433
- NPI assigned
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Baoen Jiang, M.D.
- Title
- M.D./Present
- Phone
- (212) 964-9498
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 214423 | NY | Primary |
Addresses
Primary practice location
8 Chatham SQ
Suite 301
New York, NY 10038-1000
Mailing address
8 Chatham SQ
Suite 301
New York, NY 10038-1000
Phone (212) 964-9498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1528140597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1053598417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CHATHAM SQ",
"address_2": "SUITE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100381000",
"telephone_number": "212-964-9498",
"fax_number": "212-566-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CHATHAM SQ",
"address_2": "SUITE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100381000",
"telephone_number": "212-964-9498",
"fax_number": "212-566-0433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAOEN JIANG MEDICINE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "JIANG",
"authorized_official_first_name": "BAOEN",
"authorized_official_title_or_position": "M.D./PRESENT",
"authorized_official_telephone_number": "212-964-9498",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "214423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.