Organization Active NPI

Jing Gastroenterology & Hepatology PC

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1154739324
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
256797 Issued in NY
Legal business name
JING GASTROENTEROLOGY & HEPATOLOGY PC
Practice address
13668 Roosevelt Ave
FL 3
Flushing, NY 11354-5510
Phone
(718) 886-9819
Fax
(718) 886-9809
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Tong Jing, MDNPI 1316916778
Title
President
Phone
(718) 886-9819

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 256797 NY
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 256797 NY Primary

Addresses

Primary practice location

13668 Roosevelt Ave
FL 3
Flushing, NY 11354-5510

Mailing address

15 Oak Dr
Great Neck, NY 11021-1809
Phone (516) 472-7993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150630001204 NY Part B Supplier - Clinic/Group Practice 8325350689 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

13668 Roosevelt Ave
Fl 3
Flushing, NY 11354
Phone (718) 886-9819

5915 94th St
#D6
Flushing, NY 11373
Phone (718) 271-3747

13668 Roosevelt Ave
Ste 3A
Flushing, NY 11354

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1154739324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAK DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211809",
            "telephone_number": "516-472-7993",
            "fax_number": "718-886-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE",
            "address_2": "FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "718-886-9819",
            "fax_number": "718-886-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JING GASTROENTEROLOGY & HEPATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "JING",
        "authorized_official_first_name": "TONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-9819",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "256797",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "256797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.

Verify at the official NPI Registry.