Individual provider Active NPI

Kai Zhong, MD

  • Diagnostic Radiology Physician
  • Jersey City, NJ
National Provider Identifier
1356873400
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
314842-01 Issued in NY
Practice address
197 Van Vorst St Apt 608
Jersey City, NJ 07302-4757
Phone
(716) 228-5722
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 314842-01 NY Primary

Addresses

Primary practice location

197 Van Vorst St Apt 608
Jersey City, NJ 07302-4757

Mailing address

197 Van Vorst St Apt 608
Jersey City, NJ 07302-4757
Phone (716) 228-5722

Other practice location 1

Dept Of Medicine Hsc Level 16
SUNY Stony Brook Hospital
Stony Brook, NY 11794-0001
Phone (631) 444-2058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230615003925 VA Practitioner - Diagnostic Radiology 2466798582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Radiological Associates LimitedGroup PAC ID 5991603573, 64 clinicians

Practice addresses (Care Compare)

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.12 of 100Reported as group
Quality
97.78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314842-01NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sra Medical Imaging LLC Diagnostic Radiology CurrentSince Jul 31, 2023 Accepting new patients
Peninsula Radiological Associates Limited Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Southtowns Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients

Locations

7519 Hospital Dr
Gloucester, VA 23061
Phone (804) 693-8800

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

19339 Benns Grant Blvd
Smithfield, VA 23430
Phone (757) 534-5000

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1356873400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 VAN VORST ST APT 608",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024757",
            "telephone_number": "716-228-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 VAN VORST ST APT 608",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024757",
            "telephone_number": "716-228-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Dept Of Medicine Hsc Level 16",
            "address_2": "SUNY Stony Brook Hospital",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117940001",
            "country_code": "US",
            "telephone_number": "631-444-2058",
            "fax_number": "631-444-2493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHONG",
        "first_name": "KAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "314842-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.