Doctor Gong Internal Medicine Clinic
Organization Active NPI Internal Medicine Physician · Englewood Cliffs, NJ
NPI 1902520166 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1902520166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- DOCTOR GONG INTERNAL MEDICINE CLINIC
- Practice address
- 560 Sylvan Ave Ste 1150
Englewood Cliffs, NJ 07632-3117 - Phone
- (201) 497-4018
- Fax
- (845) 250-3261
- NPI assigned
- Sep 30, 2022
- Organization subpart
- No
Authorized official
- Name
- Bing Gong, MD
- Title
- Owner
- Phone
- (201) 658-3148
Practitioners 1
-
Bing Gong, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221013003070 | NJ | Part B Supplier - Clinic/Group Practice | 7618343799 |
Receives reassigned benefits from 1 practitioner Practice locations: Demarest, NJ |
National Provider Directory
Locations
560 Sylvan Ave
Ste 1150
Englewood Cliffs, NJ 07632
Phone (201) 497-4018
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
560 Sylvan Ave Ste 1150
Englewood Cliffs, NJ 07632-3117
Mailing address
68 Holland Ave
68 Holland Ave
Demarest, NJ 07627-2715
Phone (201) 658-3148
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bg2058@gmail.com |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.