Individual provider Active NPI

Jin Qian, M.D.

  • Vascular & Interventional Radiology Physician
  • Bedford Hills, NY
National Provider Identifier
1831414812
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
291063-1 Issued in NY
Practice address
52 Main St
Bedford Hills, NY 10507-1814
Phone
(914) 666-2220
Fax
(914) 666-2430
NPI assigned
Apr 1, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Vascular & Interventional Radiology Physician 2085R0204X 291063-1 NY Primary

Addresses

Primary practice location

52 Main St
Bedford Hills, NY 10507-1814

Mailing address

2039 E Genesee St
Apt 7
Syracuse, NY 13210-2241
Phone (631) 703-0950

Other practice location 1

525 E 68th St
Box 207
New York, NY 10065-4870
Phone (212) 746-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171222000822 NY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7113229790 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
St Francis Cardiac Prevention Services PCGroup PAC ID 4183515836, 60 clinicians
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (718) 223-4685

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (718) 223-4685

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (718) 223-4685

50 Route 25a
Smithtown, NY 11787-1348
Phone (718) 223-4685

500 Commack Rd
Commack, NY 11725-5020
Phone (718) 223-4685

500 Commack Rd
Unit 150C
Commack, NY 11725-5009
Phone (934) 223-7171

510 Hicksville Rd
Massapequa, NY 11758-1203
Phone (516) 795-2626

735 Montauk Hwy
West Islip, NY 11795-4901
Phone (718) 223-4685

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
291063-1NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Mount Vernon Hospital Single Specialty CurrentSince Jul 10, 2020 Accepting new patients
CHS Physician Partners, P.C Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Empire State Radiology P C Single Specialty CurrentSince Nov 1, 2020 Accepting new patients
Montefiore New Rochelle Hospital Single Specialty CurrentSince Jul 10, 2020 Accepting new patients
St. Francis Cardiac Prevention Services PC Single Specialty CurrentSince Jul 2, 2019 Accepting new patients
CHS Physician Partners, PC Single Specialty Current Accepting new patients
CHS Physician Partners, PC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Ny Presbyterian Hospital - Cornell Past Accepting new patients

Locations (25 of 34)

52 Main St
Bedford Hills, NY 10507

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

500 Commack Rd
Commack, NY 11725
Phone (631) 638-0150

500 Commack Rd
Unit 150C
Commack, NY 11725
Phone (934) 223-7171

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

327 Beach 19th St
#H
Far Rockaway, NY 11691
Phone (718) 869-7000

2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 482-0080

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

1000 N Village Ave
#13202
Rockville Ctr, NY 11570

992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831414812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 E GENESEE ST",
            "address_2": "APT 7",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102241",
            "telephone_number": "631-703-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MAIN ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071814",
            "telephone_number": "914-666-2220",
            "fax_number": "914-666-2430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E 68th St",
            "address_2": "Box 207",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654870",
            "country_code": "US",
            "telephone_number": "212-746-5380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QIAN",
        "first_name": "JIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "291063-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

Verify at the official NPI Registry.