Active NPI
Chonnipa Hongjaisee
- Medical Physician Assistant
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110006932
- Practice address
- 1625 N George Mason Dr Ste 355
Arlington, VA 22205 - Phone
- (703) 521-6662
- NPI assigned
- Oct 17, 2018
- Last updated
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110006932 | VA | Primary |
Addresses
Primary practice location
1625 N George Mason Dr Ste 355
Arlington, VA 22205
Mailing address
1625 N George Mason Dr Ste 355
Arlington, VA 22205-3690
Phone (703) 521-6662
Other practice location 1
1625 N George Mason Dr Ste 355
Arlington, VA 22205
Phone (703) 521-6662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, NY, FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Town Square PL
Suite 1203
Jersey City, NJ 07310-2784
Phone (212) 683-0174
245 5TH Ave
FL 3
New York, NY 10016-8728
Phone (212) 683-0174
2820 NE 214TH St
Suite 801
Aventura, FL 33180-1269
Phone (212) 683-0174
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Jordan C. Stern M.D.P.C | Multi-Specialty | Current | Accepting new patients |
| Jordan C. Stern M.D.P.C | Multi-Specialty | Current | Accepting new patients |
| Privia Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
169 Madison Ave
Ste 15025
New York, NY 10016
245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399
65 Broadway
Ste 901
New York, NY 10006
Phone (212) 979-4200
1625 N George Mason Dr
Ste 355
Arlington, VA 22205
Phone (703) 521-6662
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Multi-Specialty
-
- Otolaryngology Physician
- New York, NY
- NPI 1891025466
-
- Sleep Medicine (Otolaryngology) Physician
- Stamford, CT
- NPI 1689531949
Multi-Specialty
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1093281073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 N GEORGE MASON DR STE 355",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053690",
"telephone_number": "703-521-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N GEORGE MASON DR STE 355",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22205",
"telephone_number": "703-521-6662"
}
],
"practiceLocations": [
{
"address_1": "1625 N George Mason Dr Ste 355",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "22205",
"country_code": "US",
"telephone_number": "703-521-6662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HONGJAISEE",
"first_name": "CHONNIPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110006932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.