Organization Active NPI

Jing Deng MD Rehabilitation,PC

Doing business as N/a

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1861627887
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
212380 Issued in NY
Legal business name
JING DENG MD REHABILITATION,PC
Doing business as
N/a
Practice address
32 E Broadway RM 502
New York, NY 10002-6891
Phone
(212) 925-8839
Fax
(212) 226-8498
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Jing Deng, MD
Title
President
Phone
(212) 365-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 212380 NY Primary

Addresses

Primary practice location

32 E Broadway RM 502
New York, NY 10002-6891

Mailing address

800 2ND Ave # 610
New York, NY 10017-4709
Phone (212) 883-8898

Other identifiers 1

IdentifierTypeStateIssuer
02173628MedicaidNY

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

Locations

32 E Broadway
Rm 502
New York, NY 10002
Phone (212) 925-8839

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1861627887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 2ND AVE # 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174709",
            "telephone_number": "212-883-8898",
            "fax_number": "212-883-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E BROADWAY RM 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026891",
            "telephone_number": "212-925-8839",
            "fax_number": "212-226-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JING DENG MD REHABILITATION,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-365-8989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "212380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02173628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.