Qiyun Jiang

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00380900 Issued in NJ

Practice address

6301 Kennedy Blvd
North Bergen, NJ 07047-3420

Phone

(201) 662-8700

NPI assigned

Apr 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergen Medical Sports and Spine, Inc.Group PAC ID 8022203033, 15 clinicians

Podiatry Center of New Jersey LLCGroup PAC ID 7719293745, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bergen Medical Sports & Spine, Inc.

  • Sports Medicine (Family Medicine) Physician
  • Paramus, NJ
  • NPI 1962722595
  Medicare reassignment Care Compare group NPD
• Podiatry Center of New Jersey, LLC

  • Podiatric Clinic/Center
  • Wayne, NJ
  • NPI 1932586708

  Podiatrist

  Medicare reassignment Care Compare group NPD
• Jose Grullon DPM

  • Foot & Ankle Surgery Podiatrist
  • North Bergen, NJ
  • NPI 1396456836
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1811576895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE APT 3C",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473420",
            "telephone_number": "201-662-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "QIYUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00380900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Arango
• Caroline Jensen
• Jersey Advanced MRI and Diagnostic Center
• Jersey City Artificial Kidney Center, LLC
• Jesus Alfonso
• Casey Jones, PA
• Nicole Jordan, M.D.
• Arravele Bonafe Jornales
• Jose B Munin MD PA
• Jose Grullon DPM

• Foot & Ankle Surgery Podiatrist in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.