Active NPI
John Paul Tracy NG, M.D.
- Radiation Oncology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 182321
- Practice address
- 408 Broadway
1St Floor
New York, NY 10013-3699 - Phone
- (212) 925-8882
- Fax
- (212) 925-8883
- NPI assigned
- Aug 10, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 182321 | NY | Primary |
Addresses
Primary practice location
408 Broadway
1St Floor
New York, NY 10013-3699
Mailing address
408 Broadway
1St Floor
New York, NY 10013-3699
Phone (212) 925-8882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01466595 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Radiation Oncology PC | Radiation Oncology | Current | Accepting new patients |
| Radiation Oncology Medical Practice of St Vincents PC | Radiation Oncology | Past | Accepting new patients |
| Advanced Imaging & Radiology of Lenox Hill Hospital PC | Past | Accepting new patients | |
| Lenox Hill Medical Associates, PLLC | Radiation Oncology | Past | Accepting new patients |
| Premier Physicians of New York PLLC | Radiation Oncology | Past | Accepting new patients |
Locations
2101 Avenue X
Brooklyn, NY 11235
Phone (718) 257-0200
8715 5th Ave
Brooklyn, NY 11209
Phone (718) 836-2200
2508 Ocean Ave
Brooklyn, NY 11229
Phone (718) 258-1800
15806 Northern Blvd
Flushing, NY 11358
Phone (718) 353-3688
61 E 77th St
New York, NY 10075
Phone (212) 772-2130
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
139 Centre St
Ste 620
New York, NY 10013
Phone (212) 288-8084
Organizations & group practices 5
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.
-
- Radiation Oncology Physician
- Brooklyn, NY
- NPI 1033163506
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1740364314
-
- Radiation Oncology Physician
- New York, NY
- NPI 1952382855
-
dba Tribecca Radiation Oncology
- Radiation Oncology Physician
- New York, NY
- NPI 1295082527
-
- Radiation Oncology Physician
- New York, NY
- NPI 1427039320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1336140433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 BROADWAY",
"address_2": "1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133699",
"telephone_number": "212-925-8882",
"fax_number": "212-925-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 BROADWAY",
"address_2": "1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133699",
"telephone_number": "212-925-8882",
"fax_number": "212-925-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "JOHN PAUL",
"middle_name": "TRACY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "182321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01466595",
"state": "NY"
}
],
"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 Jul 23, 2014; 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.