Individual provider Active NPI

David H Chong, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Ardsley, NY
National Provider Identifier
1720161904
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
196908 Issued in NY
Practice address
9 Concord Rd
Ardsley, NY 10502-1111
Phone
(914) 231-5656
Fax
(914) 231-5656
NPI assigned
Oct 23, 2006
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 196908 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 196908 NY Primary
Pulmonary Disease Physician 207RP1001X 196908 NY

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041221000666 NJ Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0941268072 Reassigns benefits to 1 organization
I20090720000351 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0941268072 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology), Pulmonary Disease
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 PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 1, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
SBH Physicians, PC CurrentSince Jun 1, 2022 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
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Apr 1, 2011 Accepting new patients
SBH Physicians, PC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 1, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Apr 1, 2011 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients
St. Barnabas Hospital Past Accepting new patients
Practice Associates,Inc Internal Medicine Past Accepting new patients
Columbia Medical Center Past Accepting new patients

Locations

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

111 E 210th St
Bronx, NY 10467

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

5901 Palisade Ave
Bronx, NY 10471
Phone (718) 581-1000

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

622 W 168th St
Ph 1137
New York, NY 10032
Phone (212) 305-2575

622 W 168th St
Ph 8
New York, NY 10032
Phone (212) 305-1544

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 H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dchong18883@sbhny.direct-ci.net
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1720161904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CONCORD RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021111",
            "telephone_number": "914-231-5656",
            "fax_number": "914-231-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CONCORD RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021111",
            "telephone_number": "914-231-5656",
            "fax_number": "914-231-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W 168th St",
            "address_2": "PH 8 East Room 101",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323720",
            "country_code": "US",
            "telephone_number": "212-305-9817",
            "fax_number": "212-305-8464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHONG",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196908",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "196908",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "196908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

Verify at the official NPI Registry.