Bienvenido R. Jongco, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

115171 Issued in NY

Practice address

451 Clarkson Ave
Room B4104-a
Brooklyn, NY 11203-2054

Phone

(718) 245-4079

Fax

(718) 245-3011

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1588728992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 CLARKSON AVE",
            "address_2": "ROOM B4104-A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032054",
            "telephone_number": "718-245-4079",
            "fax_number": "718-245-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 CLARKSON AVE",
            "address_2": "ROOM B4104-A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032054",
            "telephone_number": "718-245-4079",
            "fax_number": "718-245-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONGCO",
        "first_name": "BIENVENIDO",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "115171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1876503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilbert Livingston Jones, M.D.
• Yulonda Jones
• Yvonne Jones, RN
• Zita Jones
• Heesun Jong
• Alexander Jonokuchi, MD
• Farah Kanwal Jooma, MD
• Joon Acupuncture P.C
• Joon J Bang, MD, PC
• Lily Way Jordahl, RN, CNM

• Pediatric Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.