Active NPI
Andrew Jeong
- Student in an Organized Health Care Education/Training Program
- Rochester, NY
National Provider Identifier
1437786993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Department of Orthopaedics and Rehabilitation
601 Elmwood Avenue
Rochester, NY 14642 - Phone
- (585) 276-2288
- NPI assigned
- Mar 25, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Department of Orthopaedics and Rehabilitation
601 Elmwood Avenue
Rochester, NY 14642
Mailing address
Department of Orthopaedics and Rehabilitation
601 Elmwood Avenue, Box 665
Rochester, NY 14642
Phone (585) 276-2288
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201009002145 | NY | Order and Referring Only - Orthopedic Surgery | 0446670525 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1437786993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF ORTHOPAEDICS AND REHABILITATION",
"address_2": "601 ELMWOOD AVENUE, BOX 665",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14642",
"telephone_number": "585-276-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF ORTHOPAEDICS AND REHABILITATION",
"address_2": "601 ELMWOOD AVENUE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14642",
"telephone_number": "585-276-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEONG",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.