Organization Active NPI

Dr. de Cong Tran DPM. PC.

  • Podiatrist
  • Jackson Heights, NY
National Provider Identifier
1568416907
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DR. DE CONG TRAN DPM. PC.
Practice address
3345 94TH St
Jackson Heights, NY 11372-1943
Phone
(718) 429-2186
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
De Cong Tran, D.P.MNPI 1235185521
Title
President
Phone
(718) 429-2186

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3345 94TH St
Jackson Heights, NY 11372-1943

Mailing address

3345 94TH St
Jackson Heights, NY 11372-1943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060531000062 NY Part B Supplier - Clinic/Group Practice 6709897911 Receives reassigned benefits from 1 practitioner
Practice locations: Briarwood, NY; Middle Village, NY; Brooklyn, NY; Jackson Heights, NY
O20100930043514 NY DME Supplier - Physician - Podiatry 6709897911 Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

585 Bushwick Ave
Brooklyn, NY 11206
Phone (347) 369-7704

3345 94th St
Ste 1J
Jackson Hts, NY 11372
Phone (718) 335-3495

Practitioners & affiliated clinicians

Practitioners 5

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1568416907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 94TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 94TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721943",
            "telephone_number": "718-429-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DE CONG TRAN DPM. PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DE",
        "authorized_official_middle_name": "CONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-429-2186",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.