Individual provider Active NPI

Xiang Da Dong, MD

  • Surgical Oncology Physician
  • Valhalla, NY
National Provider Identifier
1912970435
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
259782 Issued in NY
Practice address
100 Woods Rd
Valhalla, NY 10595-1530
Phone
(914) 909-9018
Fax
(914) 493-2267
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 259782 NY
Surgery Physician 208600000X 45107 CT
Surgical Oncology Physician 2086X0206X 45107 CT
Surgical Oncology Physician 2086X0206X 259782 NY Primary

Addresses

Primary practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

19 Bradhurst Ave
Suite 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018

Other practice location 1

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-6752

Other practice location 2

24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 845-4811

Other practice location 3

1 Webster Ave Ste 502
Poughkeepsie, NY 12601-1363
Phone (914) 372-7196

Other practice location 4

241 North Rd
Poughkeepsie, NY 12601-1154
Phone (914) 372-7196

Other practice location 5

19 Bradhurst Ave Ste 3050N
Hawthorne, NY 10532-2180
Phone (914) 372-7196

Other practice location 6

19 Bradhurst Ave Ste 2575S
Hawthorne, NY 10532-2140
Phone (914) 372-7196

Other practice location 7

27 Grand St
Kingston, NY 12401-3933
Phone (914) 372-7196

Other identifiers 2

IdentifierTypeStateIssuer
259782OtherNYNEW YORK STATE LICENSE
45107OtherCTCONNECTICUT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070731000309 CT Practitioner - Surgical OncologyPractitioner - General Surgery 3577592815 Reassigns benefits to 1 organization
I20160504002683 NY Practitioner - Surgical Oncology 3577592815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Duke University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 852-2000

Hospital & facility affiliations

  • Western Connecticut Home Care Inc Home health agency, Danbury, CT, CCN 077088
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45107CTMDSurgery Physician
259782NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Mar 8, 2016 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Surgery CurrentSince Oct 15, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Surgery CurrentSince Mar 8, 2016 Accepting new patients
Nuvance Health Medical Practice PC Surgical Oncology CurrentSince Feb 15, 2023 Accepting new patients
Fairfield County Surgical Specialists, PC Surgery Past Accepting new patients
Stamford Surgical Associates, LLC Surgery Past Accepting new patients

Locations

95 Locust Ave
Danbury, CT 06810
Phone (203) 739-7029

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

672 Stoneleigh Ave
Ste C112
Carmel, NY 10512
Phone (203) 739-7131

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

19 Bradhurst Ave
Ste 3050N
Hawthorne, NY 10532
Phone (914) 347-0162

19 Bradhurst Ave
Ste 2575S
Hawthorne, NY 10532
Phone (914) 246-6600

27 Grand St
Kingston, NY 12401
Phone (845) 338-1535

1 Webster Ave
Ste 502
Poughkeepsie, NY 12601
Phone (845) 454-1942

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1912970435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "SUITE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-909-9018",
            "fax_number": "914-493-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-909-9018",
            "fax_number": "914-493-2267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106099",
            "country_code": "US",
            "telephone_number": "203-739-6752",
            "fax_number": "203-749-9087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Stevens St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068503852",
            "country_code": "US",
            "telephone_number": "203-845-4811",
            "fax_number": "203-899-5096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Webster Ave Ste 502",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011363",
            "country_code": "US",
            "telephone_number": "914-372-7196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 North Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011154",
            "country_code": "US",
            "telephone_number": "914-372-7196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Bradhurst Ave Ste 3050N",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NY",
            "postal_code": "105322180",
            "country_code": "US",
            "telephone_number": "914-372-7196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Bradhurst Ave Ste 2575S",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NY",
            "postal_code": "105322140",
            "country_code": "US",
            "telephone_number": "914-372-7196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Grand St",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124013933",
            "country_code": "US",
            "telephone_number": "914-372-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONG",
        "first_name": "XIANG",
        "middle_name": "DA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "259782",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "45107",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CT",
            "license": "45107",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "259782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "259782",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT LICENSE",
            "identifier": "45107",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.