Jae Ui. Hong

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD059496L Issued in PA

Legal business name

JAE UI. HONG

Practice address

321 E Main St
Suite 100
Somerset, PA 15501-2104

Phone

(814) 445-5169

Fax

(814) 443-6290

NPI assigned

Nov 1, 2007

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jae Ui Hong, MDNPI 1184611634

Title

Owner

Phone

(814) 445-5169

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Somerset Internal Medicine Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jae Ui Hong, MD

  • Internal Medicine Physician
  • Somerset, PA
  • NPI 1184611634
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1659550028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012104",
            "telephone_number": "814-445-5169",
            "fax_number": "814-443-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012104",
            "telephone_number": "814-445-5169",
            "fax_number": "814-443-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE UI. HONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "UI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-445-5169",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD059496L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1532377",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "946096",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018013740002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "110216603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "76444",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "207960",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016007050014",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "123405",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "838177",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerset Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Integrated Wound Specialists of Pennsylvania, LLC
• Interim Healthcare of Pittsburgh, Inc. (Interim Healthcare of Somerset)
• Interim Healthcare of Pittsburgh, Inc. (Interim Healthcare of Somerset)
• Richard C Irwin, OD
• Peter Carlton Jacobson, DMD
• Jeffrey G. Carberry, DMD, PC
• Robert F Jeffreys Jr., SLP
• Johnstown Free Medical Clinic
• Allen G Joseph, LPC
• Tami Lynne Judy, CRNP

• Specialist in Somerset, PA
• Providers in Somerset, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.