Individual provider Active NPI

Alan NG, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Elmhurst, NY
National Provider Identifier
1407953649
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
219706 Issued in NY
Practice address
8611 Justice Ave
Elmhurst, NY 11373-4555
Phone
(347) 242-3387
Fax
(347) 242-3386
NPI assigned
Sep 20, 2006
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 219706 NY Primary

Addresses

Primary practice location

8611 Justice Ave
Elmhurst, NY 11373-4555

Mailing address

8611 Justice Ave
Elmhurst, NY 11373-4555
Phone (347) 242-3387

Other names 1

  • Alan NG Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103001098 NY Practitioner - Physical Medicine and Rehabilitation 5597727230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8611 Justice Ave
FL 1
Elmhurst, NY 11373-4555
Phone (347) 242-3387

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219706NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alan NG Medical Rehabilitation PC CurrentSince Nov 1, 2002 Accepting new patients
Cancellieri Chiropractic PC PastSince May 1, 2006 Accepting new patients
Orlin & Cohen Orthopedic Associates, LLP PastSince Apr 21, 2003 Accepting new patients
Core Care Physical Therapy and Acupuncture,PLLC PastSince Nov 1, 2002 Accepting new patients
BBB Health Resources LLC Past Accepting new patients
Kinezix P.T.C Incorporated Past Accepting new patients

Locations

8611 Justice Ave
Elmhurst, NY 11373
Phone (347) 242-3387

8611 Justice Ave
#1
Elmhurst, NY 11373
Phone (201) 674-6531

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1407953649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 JUSTICE AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734555",
            "telephone_number": "347-242-3387",
            "fax_number": "347-242-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 JUSTICE AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734555",
            "telephone_number": "347-242-3387",
            "fax_number": "347-242-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "219706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "NG",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.