Junyang Gong, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

019520 Issued in OH

Practice address

2345 Philadelphia Dr
Dayton, OH 45406-1816

Phone

(937) 276-4141

NPI assigned

May 15, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, WV2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Development Co.Group PAC ID 4183527476, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roane General Hospital Hospital, Spencer, WV, CCN 511306

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations (25 of 32)

Interoperability endpoints

• Direct secure messaging: jgong28147@ehrdirect.uhhospitals.org
• Direct secure messaging: jgong1330186@ahs.direct-ci.com

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 Development Co

  • Critical Access Hospital
  • Spencer, WV
  • NPI 1316907322
  Medicare reassignment Care Compare group NPD
• Apogee Medical Group Ohio Inc

  • Internal Medicine Physician
  • Ashtabula, OH
  • NPI 1477500999

  Nurse Practitioner

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Ohio, Professional Corporation

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1043572290

  Nurse Practitioner

  Medicare reassignment NPD
• Inpatient Medical Services, Inc.

  • Internal Medicine Physician
  • Hudson, OH
  • NPI 1093756314
  Medicare reassignment NPD
• Mercy Health Physicians Lima Specialty Care LLC

  • Surgery Physician
  • Lima, OH
  • NPI 1518589803

  Nurse Practitioner

  Medicare reassignment NPD
• Midwest Hospitalist Physicians LLP

  • Hospitalist Physician
  • Lima, OH
  • NPI 1891242319

  Nurse Practitioner

  Medicare reassignment NPD
• Ohiohealth Corporation

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment NPD
• University Hospitals Conneaut Medical Center

  • Nurse Practitioner
  • Conneaut, OH
  • NPI 1831545177
  Medicare reassignment NPD
• University Hospitals Geneva Medical Center

  • Nurse Practitioner
  • Geneva, OH
  • NPI 1700261807
  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1932386059
  Medicare reassignment NPD
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  OH

  Medicare reassignment NPD

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

• Hospital Development Co

  • Critical Access Hospital
  • Spencer, WV
  • NPI 1316907322
  Care Compare affiliation

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1801021183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 DARBY RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454311116",
            "telephone_number": "646-706-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 PHILADELPHIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061816",
            "telephone_number": "937-276-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 W High St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458015900",
            "country_code": "US",
            "telephone_number": "419-996-4099",
            "fax_number": "419-995-4961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONG",
        "first_name": "JUNYANG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "019520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trayce Golson
• Ahmed Gomaa
• Laila Ibrahim Gomaa, MD
• Ruben A Gomez, LMSW
• Elizabeth Gonder
• Diana Elizabeth Gonzalez
• Latisha Gooch, LPN
• Mary Kathy Gooch, COTA/L
• Sacha Gooch, PA-C
• Good Neighbor House

• Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.