Active NPI
Changlin Gong, M.D.
- Hospitalist Physician
- Bronx, NY
National Provider Identifier
1801590260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 62180
- Practice address
- Jacobi Medical Center, 1400 Pelham Parkway South
Bronx, NY 10461 - Phone
- (718) 918-5640
- NPI assigned
- Mar 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 62180 | KY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Jacobi Medical Center, 1400 Pelham Parkway South
Bronx, NY 10461
Mailing address
Jacobi Medical Center, 1400 Pelham Parkway South
Bronx, NY 10461
Other practice location 1
800 Rose St
Lexington, KY 40536-0293
Phone (859) 323-6047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 Waller Ave
Suite 209
Lexington, KY 40503-1035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1801590260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JACOBI MEDICAL CENTER, 1400 PELHAM PARKWAY SOUTH",
"city": "BRONX",
"state": "NY",
"postal_code": "10461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JACOBI MEDICAL CENTER, 1400 PELHAM PARKWAY SOUTH",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-918-5640"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360293",
"country_code": "US",
"telephone_number": "859-323-6047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONG",
"first_name": "CHANGLIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "62180",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.