Active NPI
Jisoo Jang, PA-S
- Physician Assistant
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 14995 Shady Grove Rd Ste 500
Rockville, MD 20850-8726 - Phone
- (301) 942-7600
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 0110011070 | VA | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
14995 Shady Grove Rd Ste 500
Rockville, MD 20850-8726
Mailing address
7361 Calhoun PL Ste 600
Rockville, MD 20855-2788
Phone (301) 942-7600
Other practice location 1
8270 Willow Oaks Corporate Dr Ste 150
Fairfax, VA 22031-4530
Phone (703) 573-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7361 Calhoun PL
Suite 600
Rockville, MD 20855-2788
Phone 301942044211203
8270 Willow Oaks Corporate Dr
Suite 150
Fairfax, VA 22031-4530
Phone (301) 942-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110011070 | VA | MD | Rheumatology Physician |
Interoperability endpoints
- jisoo.jang.p1@direct.aramd.nextgenshare.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1851280135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7361 CALHOUN PL STE 600",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208552788",
"telephone_number": "301-942-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14995 SHADY GROVE RD STE 500",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208508726",
"telephone_number": "301-942-7600"
}
],
"practiceLocations": [
{
"address_1": "8270 Willow Oaks Corporate Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220314530",
"country_code": "US",
"telephone_number": "703-573-2220",
"fax_number": "703-573-7767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANG",
"first_name": "JISOO",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "VA",
"license": "0110011070",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.