Individual provider Active NPI

Xiang Bin Kong, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1578649844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
208223 Issued in NY
Practice address
835 60TH St
Brooklyn, NY 11220
Phone
(718) 686-6568
Fax
(718) 686-6561
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 208223 NY Primary

Addresses

Primary practice location

835 60TH St
Brooklyn, NY 11220

Mailing address

39-07 Prince St
Ste 5a
Flushing, NY 11354
Phone (718) 888-9530

Other identifiers 1

IdentifierTypeStateIssuer
01883641MedicaidNY

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
I20040126000867 NY Practitioner - Physical Medicine and Rehabilitation 5092617621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xiang Bin Kong Medical PCGroup PAC ID 2961728381, 2 clinicians

Practice addresses (Care Compare)

3907 Prince St
Suite 5a
Flushing, NY 11354-5308
Phone (718) 888-9530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208223NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xiang Bin Kong Medical PC Physical Medicine & Rehabilitation CurrentSince Oct 19, 2014 Accepting new patients

Locations

835 60th St
#1
Brooklyn, NY 11220
Phone (718) 686-6548

835 60th St
Brooklyn, NY 11220
Phone (718) 686-6548

3907 Prince St
Ste 5A
Flushing, NY 11354
Phone (718) 888-9530

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578649844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39-07 PRINCE ST",
            "address_2": "STE 5A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-888-9530",
            "fax_number": "718-888-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-686-6568",
            "fax_number": "718-686-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "XIANG BIN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "208223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01883641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.