Yin Kong

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F309792-01 Issued in NY

Practice address

7105 3Rd Avenue, #523
7105 3Rd Avenue, #52
Brooklyn, NY 11209-1308

Phone

(718) 865-9333

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Living-at-Home Medical, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1760816698
  Medicare reassignment NPD

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1295334100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RUTGERS ST APT 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027142",
            "telephone_number": "646-420-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 3RD AVENUE, #523",
            "address_2": "7105 3RD AVENUE, #52",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091308",
            "telephone_number": "718-865-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "YIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309792-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Mingho Kong, MD
• Steven Kong
• Tung Han Kong, LCSW
• Wendy Kong, MPH, PA-C
• Xiang Bin Kong, MD
• Shiran Shiwanka Anthony Konganige
• Sarah Ann Koniarski, MPAS, PA-C, RD
• Arthur Konig, R.PH
• Michael Konig, D.O.
• Phillip Michael Konig

• Adult Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.

Verify at the official NPI Registry.