Active NPI
Jae Kwang Hong, MD
- Internal Medicine Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01613390 | Medicaid | NY |
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
Enrollment records 1
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
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
- Hospice of New York, LLC
- Union Plaza Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essen Medical Urgicare, PLLC | Current | Accepting new patients | |
| Dr Hong'S Medical PC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Internal Medicine | Current | Accepting new patients |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Internal Medicine | Current | Accepting new patients |
| Essen Medical Associates,PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Medical Specialty Clinic/Center
- Flushing, NY
- NPI 1104133792
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1306827456
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1073911533
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1366424350
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
-
- Community Based Hospice Care Agency
- Long Island City, NY
- NPI 1013001197
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.