Active NPI
Rolando Y Hong, MD
- Addiction Medicine (Psychiatry & Neurology) Physician
- Newark, NJ
National Provider Identifier
1720072242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 25MA05657400
- Practice address
- 1160 Raymond Blvd
Newark, NJ 07102-4199 - Phone
- (973) 596-3857
- NPI assigned
- Sep 12, 2005
- Last updated
- Apr 7, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 25MA05657400 | NJ | Primary |
| Psychiatry Physician | 2084P0800X | 25MA05657400 | NJ |
Addresses
Primary practice location
1160 Raymond Blvd
Newark, NJ 07102-4199
Mailing address
66 West Gilbert Street
Red Bank, NJ 07701-4918
Phone (732) 212-0060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6105301 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05657400 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacrest Medical Associates, P.a. | Addiction Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1720072242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 WEST GILBERT STREET",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077014918",
"telephone_number": "732-212-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 RAYMOND BLVD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071024199",
"telephone_number": "973-596-3857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "ROLANDO",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NJ",
"license": "25MA05657400",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA05657400",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105301",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.