Organization Active NPI

Kok L. Chong MD PA

  • Vascular & Interventional Radiology Physician
  • St Augustine, FL
National Provider Identifier
1821585811
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
KOK L. CHONG MD PA
Practice address
2720 US Highway 1 S Ste C
St Augustine, FL 32086-6301
Phone
(415) 412-8234
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Kok L Chong, MD
Title
Owner
Phone
(904) 320-0680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X FL Primary

Addresses

Primary practice location

2720 US Highway 1 S Ste C
St Augustine, FL 32086-6301

Mailing address

2720 US Highway 1 S Ste C
St Augustine, FL 32086-6301
Phone (415) 412-8234

Other practice location 1

4225 Southpoint Pkwy S
Jacksonville, FL 32216-0975
Phone (904) 320-0680

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1821585811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 US HIGHWAY 1 S STE C",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866301",
            "telephone_number": "415-412-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 US HIGHWAY 1 S STE C",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866301",
            "telephone_number": "415-412-8234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4225 Southpoint Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322160975",
            "country_code": "US",
            "telephone_number": "904-320-0680",
            "fax_number": "904-320-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOK L. CHONG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "KOK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-320-0680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.