Individual provider Active NPI

Jian Qun Huang, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1568622827
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
254143-1 Issued in NY
Practice address
419 Park Ave S RM 1305
New York, NY 10016-8433
Phone
(212) 545-5400
Fax
(212) 447-1796
NPI assigned
Jun 11, 2008
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 254143-1 NY Primary

Addresses

Primary practice location

419 Park Ave S RM 1305
New York, NY 10016-8433

Mailing address

419 Park Ave S RM 1305
New York, NY 10016-8433
Phone (212) 545-5400

Other identifiers 1

IdentifierTypeStateIssuer
03137217MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhuang80751@nyumc.direct-ci.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091016000380 NY Practitioner - Obstetrics/Gynecology 8224194204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
254143-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian/Queens Obstetrics & Gynecology CurrentSince Aug 25, 2009 Accepting new patients
New York University CurrentSince Sep 1, 2013 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Sep 1, 2013 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Aug 25, 2009 Accepting new patients
Kips Bay Gynecology LLC PastSince Dec 25, 2011 Accepting new patients

Locations

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

150 E 32nd St
Fl 1
New York, NY 10016
Phone (201) 314-9472

207 E 84th St
New York, NY 10028
Phone (646) 754-3300

530 1st Ave
Ste 10N
New York, NY 10016
Phone (212) 263-5858

530 1st Ave
Ste 10Q
New York, NY 10016
Phone (212) 263-6358

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1568622827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 PARK AVE S RM 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168433",
            "telephone_number": "212-545-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PARK AVE S RM 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168433",
            "telephone_number": "212-545-5400",
            "fax_number": "212-447-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JIAN QUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "254143-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03137217",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhuang80751@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "419 Park Ave S Rm 1305",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100168433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.