Individual provider Active NPI

Jessica Dong, DNP, FNP-BC

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1740987536
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351349 Issued in NY
Practice address
3712 Prince St Ste 3B
Flushing, NY 11354-4650
Phone
(718) 661-0018
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F351349 NY Primary

Addresses

Primary practice location

3712 Prince St Ste 3B
Flushing, NY 11354-4650

Mailing address

3712 Prince St Ste 3B
Flushing, NY 11354-4650
Phone (718) 661-0018

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230331000286 NY Practitioner - Nurse Practitioner 4385019595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F351349NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Yu M.D. P.C. CurrentSince Sep 8, 2024 Accepting new patients
Wu Xuxia Medicine PC CurrentSince Jun 1, 2025 Accepting new patients

Locations

3712 Prince St
Ste 3B
Flushing, NY 11354
Phone (718) 661-0018

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20838/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1740987536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 3B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544650",
            "telephone_number": "718-661-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 3B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544650",
            "telephone_number": "718-661-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "JESSICA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.