Individual provider Active NPI

Jean Qingjun Zheng, MD

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1568595528
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
224016 Issued in NY
Practice address
196 Canal St
5B
New York, NY 10013-4562
Phone
(212) 608-2867
Fax
(212) 566-4689
NPI assigned
Mar 13, 2007
Last updated
Dec 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 224016 NY Primary

Addresses

Primary practice location

196 Canal St
5B
New York, NY 10013-4562

Mailing address

196 Canal St
5B
New York, NY 10013-4562
Phone (212) 608-2867

Other identifiers 1

IdentifierTypeStateIssuer
224016OtherNYNYS LICENSE

Other names 1

  • Dr. Qingjun Zheng Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
224016NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1568595528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CANAL ST",
            "address_2": "5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134562",
            "telephone_number": "212-608-2867",
            "fax_number": "212-566-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CANAL ST",
            "address_2": "5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134562",
            "telephone_number": "212-608-2867",
            "fax_number": "212-566-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHENG",
        "first_name": "JEAN",
        "middle_name": "QINGJUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "224016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "224016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QINGJUN",
            "last_name": "ZHENG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.