Active NPI
Jin Qian, M.D.
- Vascular & Interventional Radiology Physician
- Bedford Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 291063-1
- 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, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 291063-1 | NY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Mount Vernon Hospital | Single Specialty | Current | Accepting new patients |
| CHS Physician Partners, P.C | Single Specialty | Current | Accepting new patients |
| Empire State Radiology P C | Single Specialty | Current | Accepting new patients |
| Montefiore New Rochelle Hospital | Single Specialty | Current | Accepting new patients |
| St. Francis Cardiac Prevention Services PC | Single Specialty | Current | Accepting new patients |
| CHS Physician Partners, PC | Single Specialty | Current | Accepting new patients |
| CHS Physician Partners, PC | Single Specialty | Current | 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.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
Single Specialty
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
Single Specialty
-
dba St. Francis Diagnostic
- Diagnostic Radiology Physician
- Melville, NY
- NPI 1376952804
Single Specialty
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
Single Specialty
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1295163244
Single Specialty
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
Single Specialty
-
dba Cardiology and Internal Medicine Associates
- Cardiovascular Disease Physician
- Massapequa, NY
- NPI 1992048342
Single Specialty
-
- Long Term Care Hospital
- New York, NY
- NPI 1083918221
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
dba St. Charles Hospital
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.