Individual provider Active NPI

Jae Kwang Hong, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1740354539
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200108 Issued in NY
Practice address
142 05 Roosevelt Ave # 109
Flushing, NY 11354
Phone
(718) 886-5252
Fax
(718) 539-0677
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200108 NY Primary

Addresses

Primary practice location

142 05 Roosevelt Ave # 109
Flushing, NY 11354

Mailing address

142 05 Roosevelt Ave # 109
Flushing, NY 11354
Phone (718) 886-5252

Other identifiers 1

IdentifierTypeStateIssuer
01613390MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000038 NY Practitioner - Internal Medicine 2860679792 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians

Practice addresses (Care Compare)

14205 Roosevelt Ave
Suite 108
Flushing, NY 11354-6005
Phone (718) 886-5252

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Hospice of New York, LLC Hospice, Long Island City, NY, CCN 331560
  • Union Plaza Care Center Nursing home, Flushing, NY, CCN 335799

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Urgicare, PLLC CurrentSince Jul 15, 2024 Accepting new patients
Dr Hong'S Medical PC CurrentSince Apr 17, 2011 Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 15, 2024 Accepting new patients
Bronx Medical Practice P.C. Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients
Essen Medical Associates,PC CurrentSince Jul 15, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Pelham Parkway Nursing Care & Rehabilitation Facility, LLC Past Accepting new patients
Union Plaza Nursing Home Inc Past Accepting new patients
Sapphire Center for Rehabilitation and Nursing of Central Queens, LLC Past Accepting new patients

Locations

2015 Grand Concourse
#13202
Bronx, NY 10453

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

14205 Roosevelt Ave
Ste 108
Flushing, NY 11354
Phone (718) 353-3988

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

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

Interoperability endpoints

  • Direct secure messaging: jae.hong@direct.meditouchehr.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1740354539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 05 ROOSEVELT AVE # 109",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-886-5252",
            "fax_number": "718-539-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 05 ROOSEVELT AVE # 109",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-886-5252",
            "fax_number": "718-539-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "JAE",
        "middle_name": "KWANG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01613390",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.