Active NPI
Chuan Jiang, M.D.
- Pulmonary Disease Physician
- Flushing, NY
National Provider Identifier
1790028025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 276503
- Practice address
- 4199 Main St Ste 202C
Flushing, NY 11355-5164 - Phone
- (718) 285-6606
- NPI assigned
- Apr 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 276503 | NY | |
| Nephrology Physician | 207RN0300X | 276503 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 276503 | NY | Primary |
Addresses
Primary practice location
4199 Main St Ste 202C
Flushing, NY 11355-5164
Mailing address
18 Pont St
Great Neck, NY 11021-3458
Phone (516) 829-0609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04366390 | 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
- Pulmonary Disease
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2952 Brighton 3Rd St
Suite 102
Brooklyn, NY 11235-7078
Phone (786) 614-0685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Diagnostics Medical PC | Current | Accepting new patients |
Locations
2952 Brighton 3rd St
Ste 102
Brooklyn, NY 11235
Phone (609) 793-9575
250 Avenue X
Fl 2
Brooklyn, NY 11223
Phone (347) 922-5970
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- cjiang80758@direct.medisys.org
- chj9077@direct.nyp.org
Organizations & group practices 1
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.
-
- Specialist
- Brooklyn, NY
- NPI 1538922414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1790028025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 PONT ST",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213458",
"telephone_number": "516-829-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4199 MAIN ST STE 202C",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555164",
"telephone_number": "718-285-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIANG",
"first_name": "CHUAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "276503",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "276503",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "276503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04366390",
"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 Aug 10, 2020; 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.