Jeffrey Gong, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB03676700 Issued in NJ

Practice address

101 S New York Rd
Galloway, NJ 08205-9609

Phone

(609) 652-2730

Fax

(609) 652-7463

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Internal Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Patient Care Home health agency, Egg Harbor Township, NJ, CCN 317072
• NJ Health Hospice and Palliative Care Hospice, Vineland, NJ, CCN 311568
• Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
• Meadowview Nursing and Rehabilitation Center Nursing home, Northfield, NJ, CCN 315358

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Hamilton Township Assisted Living LLC

  dba Woodview Estates Assisted Living

  • Assisted Living Facility
  • Mays Landing, NJ
  • NPI 1922158575
  NPD (past)
• Woodview Estates Alf LLC

  • Assisted Living Facility
  • Mays Landing, NJ
  • NPI 1629941950
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cooper University Hospital Cape Regional Inc

  • General Acute Care Hospital
  • Cape May Court House, NJ
  • NPI 1053382697
  Care Compare affiliation
• County of Atlantic

  dba Meadowview Nursing Home

  • Skilled Nursing Facility
  • Northfield, NJ
  • NPI 1376543462

  Nursing home

  Care Compare affiliation
• LHCG CXLV, LLC

  dba AtlantiCare Home Health

  • Home Health Agency
  • Egg Harbor Township, NJ
  • NPI 1154884401
  Care Compare affiliation
• New Jersey Cuidado Casero Hospice LLC

  dba NJ Cuidado Casero Hospice

  • Community Based Hospice Care Agency
  • Vineland, NJ
  • NPI 1922246438
  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780771626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S NEW YORK RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059609",
            "telephone_number": "609-652-2730",
            "fax_number": "609-652-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S NEW YORK RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059609",
            "telephone_number": "609-652-2730",
            "fax_number": "609-652-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB03676700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0081732001",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0668206",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "13611",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliana Rose Giardina, M.S.
• Thomas A Giegerich, DMD,MS
• Genevieve Giovinazzi
• Jason Aaron Gluck, D.O.
• Leann Goehring
• Randall Scott Gong, COTA/L
• Patrick Gotimer, D.O.
• Madison L Gragg, LSW
• Carlene Graham, LCSW
• Melissa J. Graule, M.D.

• Internal Medicine Physician in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.