Active NPI
Jonathan Jeong, DO
- Hospitalist Physician
- New York, NY
National Provider Identifier
1225731052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MB13105800
- Practice address
- 130 E 77TH St
New York, NY 10075-1851 - Phone
- (212) 434-4763
- NPI assigned
- Mar 22, 2023
- Last updated
- Aug 25, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 25MB13105800 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 25MB13105800 | NJ |
Addresses
Primary practice location
130 E 77TH St
New York, NY 10075-1851
Mailing address
333 Liberty Rd
Teaneck, NJ 07666-6310
Other practice location 1
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-6414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- jjeong71273@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1225731052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 LIBERTY RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076666310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751851",
"telephone_number": "212-434-4763"
}
],
"practiceLocations": [
{
"address_1": "99 Beauvoir Ave",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013533",
"country_code": "US",
"telephone_number": "908-522-6414",
"fax_number": "908-598-2337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEONG",
"first_name": "JONATHAN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-22",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MB13105800",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB13105800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.