Individual provider Active NPI

Chonnipa Hongjaisee

  • Medical Physician Assistant
  • Arlington, VA
National Provider Identifier
1093281073
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110006932 Issued in VA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20191114000660 DC Practitioner - Physician Assistant 4284066143 Reassigns benefits to 1 organization
I20250117001313 NY Practitioner - Physician Assistant 4284066143 Reassigns benefits to 1 organization
I20250822000073 FL Practitioner - Physician Assistant 4284066143 Reassigns benefits to 1 organization
I20250827004866 NJ Practitioner - Physician Assistant 4284066143 Reassigns benefits to 1 organization

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
Bluesleep PCGroup PAC ID 9537699541, 9 clinicians
Jordan C. Stern M.D.P.CGroup PAC ID 0749321800, 10 clinicians

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

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Multi-Specialty CurrentSince Oct 8, 2019 Accepting new patients
Jordan C. Stern M.D.P.C Multi-Specialty CurrentSince Aug 5, 2025 Accepting new patients
Jordan C. Stern M.D.P.C Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients
Privia Medical Group, LLC Multi-Specialty CurrentSince Oct 8, 2019 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.

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

Verify at the official NPI Registry.