Individual provider Active NPI

Simon Jinwha Hong, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1740684455
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
279215 Issued in NY
Practice address
305 E 33Rd St
New York, NY 10016-9401
Phone
(855) 698-4232
NPI assigned
Oct 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 279215 NY Primary

Addresses

Primary practice location

305 E 33Rd St
New York, NY 10016-9401

Mailing address

866 W End Ave Apt 1B
New York, NY 10025-8465
Phone (917) 617-9937

Other practice location 1

462 1st Ave
New York, NY 10016-9196
Phone (646) 501-9500

Other names 1

  • Jinwha Hong Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shong301212@nyumc.direct-ci.com

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
I20150824001437 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7911212709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

240 E 38TH St
New York, NY 10016-2708
Phone (212) 263-7300

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Upper gastrointestinal (GI) endoscopy for acid reflux26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Gastroenterology CurrentSince Jul 1, 2020 Accepting new patients
Montefiore Medical Center Gastroenterology CurrentSince Jun 11, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Jun 11, 2015 Accepting new patients
New York University CurrentSince Jul 1, 2020 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

500 1st Ave
New York, NY 10016
Phone (212) 562-4141

305 E 33rd St
New York, NY 10016
Phone (212) 263-3030

240 E 38th St
New York, NY 10016
Phone (212) 263-6033

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: shong301212@nyumc.direct-ci.com
  • Direct secure messaging: shong842389@nychhc.direct-ci.com

Organizations & group practices 4

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 7

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1740684455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 W END AVE APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258465",
            "telephone_number": "917-617-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 33RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169401",
            "telephone_number": "855-698-4232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100169196",
            "country_code": "US",
            "telephone_number": "646-501-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "SIMON",
        "middle_name": "JINWHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "279215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shong301212@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "305 E 33rd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100169401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JINWHA",
            "last_name": "HONG",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.