David H Chong, M.D.
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Ardsley, NY
NPI 1720161904 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1720161904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 196908 (NY)
- Practice address
- 9 Concord Rd
Ardsley, NY 10502-1111 - Phone
- (914) 231-5656
- Fax
- (914) 231-5656
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- State University of New York at Buffalo School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SBH Physicians PC
Practice addresses (Care Compare)
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214
Hospital & facility affiliations
- St Barnabas Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041221000666 | NJ | Practitioner - Internal Medicine |
0941268072 | Reassigns benefits to 1 organization |
| I20090720000351 | NY | Practitioner - Internal Medicine |
0941268072 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196908 | NY | MD | Licensed Practical Nurse |
Practice roles (14 of 18)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Internal Medicine | Current |
Accepting new patients |
| Rutgers Health-RWJ Scleroderma Program | Current |
Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| SBH Physicians, PC | Current |
Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current |
Accepting new patients |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current |
Accepting new patients |
| Rutgers Health-RWJ Scleroderma Program | Current |
Accepting new patients | |
| SBH Physicians, PC | Internal Medicine | Current |
Accepting new patients |
| St. Barnabas Hospital | Past | Accepting new patients | |
| Specialty Care of Practice Associates,PA | Past | Accepting new patients | |
| Columbia Medical Center | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Practice Associates,Inc | Internal Medicine | Past | Accepting new patients |
Locations
125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561
125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
5901 Palisade Ave
Bronx, NY 10471
Phone (718) 581-1000
111 E 210th St
Bronx, NY 10467
4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
Ph 8
New York, NY 10032
Phone (212) 305-8464
622 W 168th St
Ph 1137
New York, NY 10032
Phone (212) 305-2575
630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387
701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dchong18883@sbhny.direct-ci.net
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 196908 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 196908 | NY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 196908 | NY | Yes |
Addresses
Primary practice location
9 Concord Rd
Ardsley, NY 10502-1111
Mailing address
9 Concord Rd
Ardsley, NY 10502-1111
Phone (914) 231-5656
Other practice location 1
622 W 168th St
PH 8 East Room 101
New York, NY 10032-3720
Phone (212) 305-9817
Other providers in Ardsley, NY
- Katherine Joan Chalen
- Brian Chartier
- Virginia L Chen
- David H Cheren
- Minil Choi
- Susan Cohn
- Jeanette Jennie Collins
- Carrie Colwes Hymowitz
- Sonia Connelly
- Toni Cooney
All providers in Ardsley, NY · Critical Care Medicine (Internal Medicine) Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.