Individual provider Active NPI

Caroline Jennifer Jjingo, M.D., M.P.H

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1487854899
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101253185 Issued in VA
Practice address
5141 Broadway
New York, NY 10034-1159
Phone
(212) 932-4461
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101253185 VA Primary

Addresses

Primary practice location

5141 Broadway
New York, NY 10034-1159

Mailing address

180 Cabrini Blvd
Apt. 37
New York, NY 10033-1138
Phone (917) 521-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130723000742 DC Practitioner - Internal MedicinePractitioner - Infectious Disease 4183713837 Reassigns benefits to 3 organizations
I20190827001197 MD Practitioner - HospitalistPractitioner - Internal Medicine 4183713837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Yale University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians
Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Practice addresses (Care Compare)

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

1625 N George Mason Dr
425 VHC Phy GRP OB Hospitalists
Arlington, VA 22205-3686
Phone (703) 717-4502

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Medical Faculty Associates, Inc Internal Medicine CurrentSince Aug 21, 2019 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Apr 24, 2013 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Past Accepting new patients

Locations

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1625 N George Mason Dr
Ste 425
Arlington, VA 22205
Phone (703) 717-4400

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: cjjingo11797@direct.virginiahospitalcenter.net
  • Direct secure messaging: cjjingo537861@direct.hopkinsmedicine.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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 1

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1487854899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CABRINI BLVD",
            "address_2": "APT. 37",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331138",
            "telephone_number": "917-521-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341159",
            "telephone_number": "212-932-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JJINGO",
        "first_name": "CAROLINE",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101253185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.