Individual provider Active NPI

Rong Zhang, FNP

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1679278113
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347019 Issued in NY
Practice address
920 Lark Dr
Albany, NY 12207-1398
Phone
(518) 591-4558
Fax
(518) 320-3021
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F347019 NY Primary

Addresses

Primary practice location

920 Lark Dr
Albany, NY 12207-1398

Mailing address

920 Lark Dr
Albany, NY 12207-1398
Phone (518) 591-4558

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524002573 NY Practitioner - Nurse Practitioner 3577929165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F347019NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whitney M. Young, Jr. Health Center, Inc. CurrentSince May 12, 2023 Accepting new patients
Whitney M Young Jr Health Center Inc CurrentSince May 12, 2023 Accepting new patients
Whitney M. Young, Jr. Health Center, Inc. Past Accepting new patients
Whitney M. Young Jr. Health Center, Inc. Past Accepting new patients

Locations

920 Lark Dr
Albany, NY 12207
Phone (518) 427-0102

Interoperability endpoints

  • Direct secure messaging: rong.zhang.1@22063.direct.athenahealth.com

Organizations & group practices 4

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1679278113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LARK DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071398",
            "telephone_number": "518-591-4558",
            "fax_number": "518-320-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LARK DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071398",
            "telephone_number": "518-591-4558",
            "fax_number": "518-320-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "RONG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.