Active NPI
East Coast Health Medical Services PC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1841015153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EAST COAST HEALTH MEDICAL SERVICES PC
- Practice address
- 109 W 27TH St Ste 4N
New York, NY 10001-0265 - Phone
- (332) 203-2522
- NPI assigned
- Nov 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jingyi Kang
- Title
- Operations
- Phone
- (332) 203-2522
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Peer Specialist | 175T00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X |
Addresses
Primary practice location
109 W 27TH St Ste 4N
New York, NY 10001-0265
Mailing address
109 W 27TH St Ste 4N
New York, NY 10001-0265
Phone (332) 203-2522
Other practice location 1
221 River St Ste 9
Hoboken, NJ 07030-5990
Phone (646) 722-3323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250203000723 | NY | Part B Supplier - Clinic/Group Practice | 8527597780 |
Receives reassigned benefits from 8 practitioners Practice locations: New York, NY |
| O20250521002517 | NJ | Part B Supplier - Clinic/Group Practice | 8527597780 |
Receives reassigned benefits from 4 practitioners Practice locations: Hoboken, NJ; Marlton, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- New York, NY
- NPI 1134387004
NJ, NY
-
- Hospitalist Physician
- West Hollywood, CA
- NPI 1043669484
Internal Medicine, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744588800000",
"number": "1841015153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST STE 4N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100010265",
"telephone_number": "332-203-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 27TH ST STE 4N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100010265",
"telephone_number": "332-203-2522"
}
],
"practiceLocations": [
{
"address_1": "221 River St Ste 9",
"address_purpose": "LOCATION",
"city": "Hoboken",
"state": "NJ",
"postal_code": "070305990",
"country_code": "US",
"telephone_number": "646-722-3323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EAST COAST HEALTH MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-21",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "JINGYI",
"authorized_official_title_or_position": "OPERATIONS",
"authorized_official_telephone_number": "332-203-2522"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SC1501X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
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- East Coast Plastic Surgery PLLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.