Organization Active NPI

Jing Deng Rehabilitation P.C

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
National Provider Identifier
1366765125
Registry record updated Mar 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
212380 Issued in NY
Legal business name
JING DENG REHABILITATION P.C
Practice address
3526 150TH PL
Flushing, NY 11354-4902
Phone
(718) 939-3779
Fax
(718) 939-3770
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2010

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

Authorized official

Name
Jing Deng, MDNPI 1114949344
Title
Doctor
Phone
(718) 939-3779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 212380 NY Primary

Addresses

Primary practice location

3526 150TH PL
Flushing, NY 11354-4902

Mailing address

3526 150TH PL
Flushing, NY 11354-4902
Phone (718) 939-3779

Other identifiers 1

IdentifierTypeStateIssuer
02173628MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269648000000",
    "number": "1366765125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 150TH PL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544902",
            "telephone_number": "718-939-3779",
            "fax_number": "718-939-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 150TH PL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544902",
            "telephone_number": "718-939-3779",
            "fax_number": "718-939-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JING DENG REHABILITATION P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-27",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-939-3779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "212380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02173628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.