Cheng A Gonjon, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

201244 Issued in NY

Practice address

9 Sickles St
Suite 1a
New York, NY 10040-1642

Phone

(212) 304-0096

Fax

(212) 304-0037

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Beth Israel Medical Center

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1740378421
  NPD (past)
• Doctors United, Inc

  • Special Hospital
  • White Plains, NY
  • NPI 1508979162
  NPD (past)
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  Emergency Medicine

  NPD (past)
• R.G. Medical, PC

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
  • NPI 1720007891
  NPD (past)
• Somos Medical, P.C

  • Family Medicine Physician
  • New York, NY
  • NPI 1639873144

  Internal Medicine

  NPD (past)
• St Lukes Roosevelt Hospital Center

  dba Emergency Medicine Associates of SLR

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1134211717
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1851364806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SICKLES ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401642",
            "telephone_number": "212-304-0096",
            "fax_number": "212-304-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SICKLES ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401642",
            "telephone_number": "212-304-0096",
            "fax_number": "212-304-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONJON",
        "first_name": "CHENG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "201244",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1663872",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yiyi Gong, PHARM D
• Yvonne Gong, P.T.
• Diana Gongora
• Margaret Goni, M.D.
• Olga Gonithellis, LMHC
• Rebecca Marie Gonley
• Susan Lynne Gonnella, MD
• Priscilla Gonsalves-Assing, LMSW
• Ruth E. Gonsky, LCSW
• Michelle Naomi Gonta, M.D.

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.