Active NPI
Jason Szepok Kong, D.O
- Physical Medicine & Rehabilitation Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 246399
- Practice address
- 3901 Main St
Suite 309
Flushing, NY 11354-5432 - Phone
- (718) 886-2906
- Fax
- (718) 301-1775
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 246399 | NY | Primary |
Addresses
Primary practice location
3901 Main St
Suite 309
Flushing, NY 11354-5432
Mailing address
3901 Main St
Suite 309
Flushing, NY 11354-5432
Phone (718) 886-2906
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3901 Main St
Suite 309
Flushing, NY 11354-5434
Phone (718) 886-2906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanwol Physical Therapy P.C. | Current | Accepting new patients | |
| Jason Szepok Kong DO PC | Current | Accepting new patients | |
| Integrative Medical Care PC | Past | Accepting new patients |
Locations
3901 Main St
Ste 309
Flushing, NY 11354
Phone (718) 886-2906
557 Main St
#2
New Rochelle, NY 10801
Phone (203) 856-8550
6308 Roosevelt Ave
Woodside, NY 11377
Phone (224) 423-8053
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Flushing, NY
- NPI 1114182219
-
- Physical Therapist
- Flushing, NY
- NPI 1073049714
-
- Specialist
- Castleton, NY
- NPI 1275533895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1609069715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 MAIN ST",
"address_2": "SUITE 309",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545432",
"telephone_number": "718-886-2906",
"fax_number": "718-301-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 MAIN ST",
"address_2": "SUITE 309",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545432",
"telephone_number": "718-886-2906",
"fax_number": "718-301-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "JASON",
"middle_name": "SZEPOK",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "246399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.