Active NPI
Jing Guo, AU.D.
- Audiologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001198-1
- Practice address
- 217 Grand St Ste 6
New York, NY 10013-4396 - Phone
- (347) 393-3130
- Fax
- (718) 259-1786
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001198-1 | NY | Primary |
Addresses
Primary practice location
217 Grand St Ste 6
New York, NY 10013-4396
Mailing address
217 Grand St Ste 6
New York, NY 10013-4396
Phone (347) 393-3130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02203501 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
217 Grand St
New York, NY 10013-4396
Phone (646) 422-7562
863 50TH St
M4
Brooklyn, NY 11220-2417
Phone (718) 853-2347
Hospital & facility affiliations
- New York-Presbyterian/Queens
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001198-1 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oriental K. Inc. | Audiologist | Current | Accepting new patients |
| Raymond L Yung MD PC | Past | Accepting new patients |
Locations
3808 Union St
Ste 7E
Flushing, NY 11354
Phone (718) 353-6150
217 Grand St
Ste 6
New York, NY 10013
Phone (212) 625-8069
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 2
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.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- New York, NY
- NPI 1740345669
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
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": "1423440000000",
"number": "1972576338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 GRAND ST STE 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134396",
"telephone_number": "347-393-3130",
"fax_number": "718-259-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 GRAND ST STE 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134396",
"telephone_number": "347-393-3130",
"fax_number": "718-259-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUO",
"first_name": "JING",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001198-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02203501",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.