Individual provider Active NPI

Ming Jiang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
National Provider Identifier
1184756744
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
226469 Issued in NY
Practice address
1508 Avenue U
Brooklyn, NY 11229-3808
Phone
(718) 376-3383
NPI assigned
Mar 9, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301082639 MI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2003079560 MO
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35082813 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 226469 NY Primary

Addresses

Primary practice location

1508 Avenue U
Brooklyn, NY 11229-3808

Mailing address

143-26 41St Ave Apt 6B
Flushing, NY 11355
Phone (261) 509-1962

Other practice location 1

717 56th St Fl 3
Brooklyn, NY 11220-3503
Phone (718) 435-3890

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070529000413 NY Practitioner - Pathology 7719890037 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
St Joseph's Hospital YonkersGroup PAC ID 0547156176, 59 clinicians
Medical Procare, PLLCGroup PAC ID 0345325551, 2 clinicians
Michael Li MD PLLCGroup PAC ID 5799772935, 3 clinicians
Aeandly Ambulatory Endoscopy PLLCGroup PAC ID 3870630130, 4 clinicians
Dreamwork Medical, PLLCGroup PAC ID 7416014980, 2 clinicians
Agi Medical PLLCGroup PAC ID 3173672342, 5 clinicians

Practice addresses (Care Compare)

107 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7110

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-8513

13221 41St Ave
Flushing, NY 11355-5854
Phone (718) 888-7728

13620 38TH Ave
Suite 6F
Flushing, NY 11354-4263
Phone (718) 888-9700

13633 37TH Ave
FL 7
Flushing, NY 11354-4561
Phone (718) 321-3262

3808 Union St
Suite 3N
Flushing, NY 11354-5670
Phone (718) 886-6292

717 56TH St
Brooklyn, NY 11220-3503
Phone (718) 435-3890

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301082639MIMDAnatomic Pathology & Clinical Pathology Physician
2003079560MOMDAnatomic Pathology & Clinical Pathology Physician
226469NYMDAnatomic Pathology & Clinical Pathology Physician
35082813OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dreamwork Medical, PLLC CurrentSince May 23, 2009 Accepting new patients
St. Joseph's Hospital Yonkers Anatomic Pathology & Clinical Pathology CurrentSince Jul 26, 2022 Accepting new patients
Sanford Endoscopy PLLC CurrentSince Apr 1, 2014 Accepting new patients
Michael Li MD PLLC CurrentSince May 29, 2013 Accepting new patients
Ae&Ly Ambulatory Endoscopy PLLC CurrentSince Oct 18, 2009 Accepting new patients
St Josephs Hospital Yonkers CurrentSince Jul 26, 2022 Accepting new patients
Agi Medical PLLC CurrentSince Sep 9, 2010 Accepting new patients
Linden Pathology Associates LLP Anatomic Pathology & Clinical Pathology Past Accepting new patients
Northwest Missouri Pathologists, M.D., P.C. Anatomic Pathology & Clinical Pathology Past Accepting new patients
Linden Pathology Associates Group, PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

13347 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 461-9779

13620 38th Ave
Ste 6F
Flushing, NY 11354
Phone (718) 213-6118

13633 37th Ave
Fl 7
Flushing, NY 11354
Phone (718) 321-3262

13633 37th Ave
Ste 7
Flushing, NY 11354

3808 Union St
Ste 3N
Flushing, NY 11354
Phone (516) 238-6855

1880 E Jericho Tpke
Huntington, NY 11743
Phone (631) 629-4628

1880 E Jericho Tpke
Fl 1A
Huntington, NY 11743
Phone (631) 629-4628

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184756744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143-26 41ST AVE APT 6B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "261-509-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293808",
            "telephone_number": "718-376-3383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 56th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203503",
            "country_code": "US",
            "telephone_number": "718-435-3890",
            "fax_number": "718-435-3489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIANG",
        "first_name": "MING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301082639",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2003079560",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35082813",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "226469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.