Dong Gi Hong, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

112271 Issued in NY

Practice address

12 Leach Rd
Lyons, NY 14489-9732

Phone

(315) 946-6075

Fax

(315) 946-4254

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093727612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LEACH RD",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899732",
            "telephone_number": "315-946-6075",
            "fax_number": "315-946-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LEACH RD",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899732",
            "telephone_number": "315-946-6075",
            "fax_number": "315-946-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "DONG",
        "middle_name": "GI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "112271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00462262",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Herold, PT
• Dawn Marie Hetzke, RN
• Misty Dawn Hobbins
• Desirae May Hobby, LMSW
• Eric M Holmes, D.D.S.
• Ellen Diane Howard, M.S.
• Melissa Hunter, LMSW
• Mary P. Hutchings, LPN
• Candice Ikeler
• Katelynn E Jackson, LPN

• Internal Medicine Physician in Lyons, NY
• Providers in Lyons, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.