Individual provider Active NPI

Hong Jiang, MD

  • Dermatopathology (Pathology) Physician
  • Middletown, NY
National Provider Identifier
1912068420
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
247156 Issued in NY
Practice address
155 Crystal Run Rd
Middletown, NY 10941-4028
Phone
(845) 703-6999
Fax
(845) 703-6297
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 247156 NY Primary

Addresses

Primary practice location

155 Crystal Run Rd
Middletown, NY 10941-4028

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hong.jiangmdphd.p1@direct.crystalrun.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161114000572 NY Practitioner - PathologyPractitioner - Dermatology 6709887268 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procedural Dermatology, P.C.Group PAC ID 7719338102, 2 clinicians
Advanced Dermatology, PLLCGroup PAC ID 0648286427, 12 clinicians

Practice addresses (Care Compare)

2844 Ocean Pkwy
Suite 2B
Brooklyn, NY 11235-7900
Phone (718) 255-7050

315 Grant Ave
Lake Katrine, NY 12449-5342
Phone (845) 339-2525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin cancer1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Procedural Dermatology PC CurrentSince Nov 1, 2025 Accepting new patients
Stoneview Pathology Medical Service PLLC CurrentSince Jan 1, 2025 Accepting new patients
Upstate Dermatopathology PLLC CurrentSince Apr 1, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jun 7, 2021 Accepting new patients
Advanced Dermatology, PLLC CurrentSince Jun 16, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jun 7, 2021 Accepting new patients
Lower Manhattan Gastroenterology Group, P.C. CurrentSince Nov 1, 2025 Accepting new patients
McLean Heights Medical Professionals PC PastSince Aug 1, 2024 Accepting new patients
HCV NP in Family Health, PC PastSince Nov 1, 2025 Accepting new patients

Locations

2844 Ocean Pkwy
Ste 2B
Brooklyn, NY 11235
Phone (718) 255-7050

8423 7th Ave
Brooklyn, NY 11228
Phone (718) 748-7364

3773 103rd St
Corona, NY 11368
Phone (718) 255-7546

315 Grant Ave
Lake Katrine, NY 12449
Phone (845) 339-2525

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

4925 Broadway
New York, NY 10034
Phone (718) 255-7546

60 Gramercy Park N
Apt 1B
New York, NY 10010
Phone (212) 979-3237

6400 Sheridan Dr
Ste 224
Williamsville, NY 14221
Phone (716) 334-0357

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jiang@advancedderm.emadirect.md

Organizations & group practices 9

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1912068420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "HONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NY",
            "license": "247156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hong.jiangmdphd.p1@direct.crystalrun.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "155 Crystal Run Rd",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109414028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.