Organization Active NPI

Tong Medical PLLC

  • Clinic/Center
  • New York, NY
National Provider Identifier
1558760660
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
220003 Issued in NY
Legal business name
TONG MEDICAL PLLC
Practice address
2 Mott St RM 203
New York, NY 10013-5003
Phone
(212) 227-4505
Fax
(212) 227-4579
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Xuezhu TongNPI 1205975091
Title
President
Phone
(212) 227-4505

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
Clinic/Center 261Q00000X 220003 NY Primary

Addresses

Primary practice location

2 Mott St RM 203
New York, NY 10013-5003

Mailing address

2 Mott St RM 203
New York, NY 10013-5003
Phone (212) 227-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150123001584 NY Part B Supplier - Clinic/Group Practice 7719201672 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2109959Tong Medical PLLC2 Mott Street, Room 203, New York, NY 10013Certificate of waiverMar 6, 2028

National Provider Directory

National Provider Directory

Locations

2 Mott St
Rm 203
New York, NY 10013
Phone (212) 227-4505

Practitioners & affiliated clinicians

Practitioners 10

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": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1558760660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOTT ST RM 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135003",
            "telephone_number": "212-227-4505",
            "fax_number": "212-227-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MOTT ST RM 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135003",
            "telephone_number": "212-227-4505",
            "fax_number": "212-227-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONG MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "XUEZHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-227-4505"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "220003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.