Active NPI
Jose Ramon Chong, SAC
- Surgical Assistant
- Miami, FL
National Provider Identifier
1811231400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 11-232
- Practice address
- 11750 SW Bird Road
Miami, FL 33175 - Phone
- (305) 223-3000
- Fax
- (305) 228-5435
- NPI assigned
- Nov 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 11-232 | CO | Primary |
Addresses
Primary practice location
11750 SW Bird Road
Miami, FL 33175
Mailing address
2909 SW 60TH Ave
Miami, FL 33155
Phone (786) 370-5740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-232 | CO | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1811231400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 SW 60TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33155",
"telephone_number": "786-370-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 SW BIRD ROAD",
"city": "MIAMI",
"state": "FL",
"postal_code": "33175",
"telephone_number": "305-223-3000",
"fax_number": "305-228-5435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "JOSE",
"middle_name": "RAMON",
"credential": "SAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-20",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "11-232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.