Individual provider Active NPI

Cheng-Hong Hwang, D.O., PH. D.

  • Pulmonary Disease Physician
  • Clark, NJ
National Provider Identifier
1063509362
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MB03912200 Issued in NJ
Practice address
1457 Raritan Rd
Clark, NJ 07066-1252
Phone
(908) 272-2270
Fax
(908) 272-0558
NPI assigned
Oct 6, 2006
Last updated
Aug 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB03912200 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MB03912200 NJ
Pulmonary Disease Physician 207RP1001X 25MB03912200 NJ Primary

Addresses

Primary practice location

1457 Raritan Rd
Clark, NJ 07066-1252

Mailing address

1457 Raritan Rd
Clark, NJ 07066-1252
Phone (908) 272-2270

Other identifiers 1

IdentifierTypeStateIssuer
3178307MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100422000627 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8527195585 Practice locations: Clark, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1063509362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661252",
            "telephone_number": "908-272-2270",
            "fax_number": "908-272-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661252",
            "telephone_number": "908-272-2270",
            "fax_number": "908-272-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "CHENG-HONG",
        "name_prefix": "Dr.",
        "credential": "D.O.,  PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB03912200",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MB03912200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB03912200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3178307",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

Verify at the official NPI Registry.