Individual provider Active NPI

Joyce Kong

  • Student in an Organized Health Care Education/Training Program
  • North Bergen, NJ
National Provider Identifier
1740819879
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
7600 River Rd
North Bergen, NJ 07047-6217
Phone
(201) 854-5000
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 328518 NY
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

7600 River Rd
North Bergen, NJ 07047-6217

Mailing address

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000

Other practice location 1

8268 164th St Bldg Room633
Jamaica, NY 11432-1121
Phone (718) 883-4583

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
I20260219004279 NY Practitioner - Dermatology 6800377649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1027 46TH Ave
Long Island City, NY 11101-5202

1027 46TH Ave
Long Island City, NY 11101-5245

220 Front St
New York, NY 10038-2031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328518NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Buka, M.D., P.C. Dermatology CurrentSince Jan 12, 2026 Accepting new patients
Derm Specs of PA PLLC Dermatology CurrentSince Jan 12, 2026 Accepting new patients
Atlas Infectious Disease Practice PLLC Past Accepting new patients
Out East Medical Dermatology PastSince Jun 15, 2021 Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

3179 Steinway St
Astoria, NY 11103

1163 Myrtle Ave
Brooklyn, NY 11206

1027 46th Ave
Fl 1
Long Island City, NY 11101

214 Sullivan St
New York, NY 10012

625 10th Ave
New York, NY 10036

2121 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (718) 534-8190

135 W 70th St
Apt 1H
New York, NY 10023
Phone (212) 874-1213

1425 2nd Ave
New York, NY 10021

3531 Long Beach Rd
Oceanside, NY 11572

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1740819879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 RIVER RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476217",
            "telephone_number": "201-854-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RIVER RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476217",
            "telephone_number": "201-854-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8268 164th St Bldg Room633",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114321121",
            "country_code": "US",
            "telephone_number": "718-883-4583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONG",
        "first_name": "JOYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "328518",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.