Individual provider Active NPI

Hong Guang Gao, MD

  • Cytopathology Physician
  • New Brunswick, NJ
National Provider Identifier
1205982162
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
25MA08423500 Issued in NJ
Practice address
254 Easton Ave.
Pathology Department
New Brunswick, NJ 08901-0890
Phone
(856) 488-6560
Fax
(856) 488-6848
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 25MA08423500 NJ Primary
Clinical Pathology Physician 207ZC0006X 25MA08423500 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MT187988 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA08423500 NJ

Addresses

Primary practice location

254 Easton Ave.
Pathology Department
New Brunswick, NJ 08901-0890

Mailing address

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8964

Other identifiers 3

IdentifierTypeStateIssuer
P00709956OtherNJRR MCR
P00807260OtherNJRAILROAD MEDICARE
0189626MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090424000259 NJ Practitioner - Pathology 5294883500 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08423500NJMDClinical Pathology Physician
MT187988PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group CurrentSince Jan 1, 2019 Accepting new patients
Brunswick Diagnostics Associates LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2022 Accepting new patients
Carepoint Gastroenterology Center PC CurrentSince Sep 21, 2015 Accepting new patients
Karel Raska Jr MD - Modern Diagnostics Clinical Pathology Past Accepting new patients

Locations

1300 Main Ave
Ste 1B
Clifton, NJ 07011
Phone (973) 689-6700

254 Easton Ave
Ste 5120
New Brunswick, NJ 08901
Phone (732) 745-8504

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

2 Capital Way
Ste 487
Pennington, NJ 08534
Phone (609) 528-8884

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1205982162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8964",
            "fax_number": "856-488-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE.",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089010890",
            "telephone_number": "856-488-6560",
            "fax_number": "856-488-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "HONG",
        "middle_name": "GUANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NJ",
            "license": "25MA08423500",
            "primary": true
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "NJ",
            "license": "25MA08423500",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MT187988",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA08423500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00709956",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00807260",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189626",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.