Individual provider Active NPI

Heebyeong Jang

  • Certified Registered Nurse Anesthetist
  • Syracuse, NY
National Provider Identifier
1568924504
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
678835 Issued in NY
Practice address
5801 E Taft Rd
Syracuse, NY 13212-3291
Phone
(315) 418-4140
NPI assigned
Apr 1, 2019
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 678835 NY Primary

Addresses

Primary practice location

5801 E Taft Rd
Syracuse, NY 13212-3291

Mailing address

13160 Corbel Cir Apt 623
Fort Myers, FL 33907-7891
Phone (917) 873-1913

Other practice location 1

13160 Corbel Cir Apt 623
Fort Myers, FL 33907-7891
Phone (917) 873-1913

Other practice location 2

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190815002059 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628305521 Reassigns benefits to 8 organizations
I20220705000463 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628305521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Rochester General Hospital CurrentSince Feb 27, 2025 Accepting new patients
Newark Wayne Community Hospital CurrentSince Feb 27, 2025 Accepting new patients
Rochester General Hospital CurrentSince Feb 27, 2025 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Feb 27, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jun 22, 2022 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 27, 2025 Accepting new patients
Jefferson Anesthesiologist Services PC CurrentSince Jan 1, 2020 Accepting new patients
U of R Anesthesiology Group CurrentSince Jan 17, 2023 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jun 1, 2025 Accepting new patients
United Memorial Medical Center CurrentSince Feb 27, 2025 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Feb 27, 2025 Accepting new patients
United Memorial Medical Center Current Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

7 Southwoods Blvd
Ste 4
Albany, NY 12211

127 North St
Batavia, NY 14020
Phone (585) 267-7510

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

5801 E Taft Rd
Syracuse, NY 13212
Phone (315) 418-4140

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

Organizations & group practices 14

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.

View all 14

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1568924504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 CORBEL CIR APT 623",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077891",
            "telephone_number": "917-873-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 E TAFT RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132123291",
            "telephone_number": "315-418-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13160 Corbel Cir Apt 623",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339077891",
            "country_code": "US",
            "telephone_number": "917-873-1913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101602",
            "country_code": "US",
            "telephone_number": "315-470-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANG",
        "first_name": "HEEBYEONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "678835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.