Jerome Kong, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35080929 Issued in OH

Practice address

355 E Campus View Blvd Ste 180
Columbus, OH 43235

Phone

(614) 840-1688

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD (past)
• Hospice of Central Ohio

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Newark, OH
  • NPI 1265532246
  NPD (past)
• Hospitalist Services Medical Group of Marysville Inc

  • Internal Medicine Physician
  • Marysville, OH
  • NPI 1700871068
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1598711657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E CAMPUS VIEW BLVD STE 180",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355680",
            "telephone_number": "614-840-1688",
            "fax_number": "614-840-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E CAMPUS VIEW BLVD STE 180",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-840-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Olentangy River Rd",
            "address_2": "1080",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143912",
            "country_code": "US",
            "telephone_number": "614-268-8164",
            "fax_number": "614-268-8406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 Olentangy River Rd",
            "address_2": "1080",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143912",
            "country_code": "US",
            "telephone_number": "614-268-8164",
            "fax_number": "614-268-8406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONG",
        "first_name": "JEROME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35080929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00065557",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Kondas
• Janet J Kondokwi
• Sahr Edward Kondokwi, STNA
• Annie Kondrot, LISW
• Rita M. Konfala, M.D.
• Kiven Konglim
• Gilbert Kongnyuy
• David Joseph Konieczkowski, M.D., PH.D.
• Suzanne Konieczkowski, DMD
• Jordan Konieczny, CRNA

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.