Active NPI
Jacqueline Pe Chiang, N.P.
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1255533089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F301461-1
- Practice address
- 10 Union Square East
Suite 5B
New York, NY 10003 - Phone
- (212) 844-8775
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00024600 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | 505348 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | F301461-1 | NY | Primary |
Addresses
Primary practice location
10 Union Square East
Suite 5B
New York, NY 10003
Mailing address
6 Foulet Drive
Princeton, NJ 08540-7638
Phone (609) 252-9603
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 505348 | CA | MD | Adult Health Nurse Practitioner |
| 26NJ00024600 | NJ | MD | Adult Health Nurse Practitioner |
| F301461-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
150 E 42nd St
Frnt D
New York, NY 10017
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
10 Union Sq E
Ste 5B
New York, NY 10003
Phone (212) 844-6852
Organizations & group practices 3
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.
-
- Pediatrics Physician
- New York, NY
- NPI 1275802811
-
- Otolaryngology Physician
- New York, NY
- NPI 1538407176
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1255533089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 FOULET DRIVE",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085407638",
"telephone_number": "609-252-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 UNION SQUARE EAST",
"address_2": "SUITE 5B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-844-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIANG",
"first_name": "JACQUELINE",
"middle_name": "PE",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00024600",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "505348",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F301461-1",
"primary": true
}
],
"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 Jan 31, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.