Active NPI
Juliang Deng, M.D.
- Internal Medicine Physician
- Flushing, NY
National Provider Identifier
1164547402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200689
- Practice address
- 4202 Kissena Blvd
Flushing, NY 11355-3214 - Phone
- (718) 428-8699
- Fax
- (718) 463-2197
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200689 | NY | Primary |
Addresses
Primary practice location
4202 Kissena Blvd
Flushing, NY 11355-3214
Mailing address
106 Sterling CT
Syosset, NY 11791-2420
Phone (516) 802-2343
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200689 | Other | NY | HIP |
| 20068901 | Other | NY | NEIGHBORHOOD |
| 4C5040 | Other | NY | PHS |
| 0100694 | Other | NY | AMERICHOICE |
| 292811 | Other | NY | WELLCARE |
| 402392 | Other | NY | UNITED HEALTHCARE |
| 117901 | Other | NY | ELDERPLAN |
| 912380 | Other | NY | AETNA |
| 01837512 | Medicaid | NY | |
| 432396NH | Other | NY | CIGNA |
| JD07633610 | Other | NY | BCBS |
| 010200689NY01 | Other | NY | ANTHEM HEALTH NETWORK |
| P451081 | Other | NY | OXFORD INSURANCE |
| 200689-A45 | Other | NY | 1199 NATIONAL BENEFIT FUN |
| 2595031 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4202 Kissena Blvd
1B
Flushing, NY 11355-3214
4202 Kissena Blvd
1B
Flushing, NY 11355-3215
Phone (718) 539-8746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deng Medical PC | Single Specialty | Current | Accepting new patients |
| Prohealth Care Associates, LLP | Single Specialty | Past | Accepting new patients |
Locations
4202 Kissena Blvd
Ste 1B
Flushing, NY 11355
Phone (718) 539-8746
4202 Kissena Blvd
Flushing, NY 11355
Phone (718) 428-8699
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1164547402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 STERLING CT",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117912420",
"telephone_number": "516-802-2343",
"fax_number": "718-463-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 KISSENA BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553214",
"telephone_number": "718-428-8699",
"fax_number": "718-463-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENG",
"first_name": "JULIANG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "200689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "200689",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD",
"identifier": "20068901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "4C5040",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0100694",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "292811",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "402392",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "117901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "912380",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01837512",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "432396NH",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "JD07633610",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH NETWORK",
"identifier": "010200689NY01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INSURANCE",
"identifier": "P451081",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 NATIONAL BENEFIT FUN",
"identifier": "200689-A45",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2595031",
"state": "NY"
}
],
"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 Feb 13, 2008; 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.