Active NPI
Cornelio R Hong, MD
- Internal Medicine Physician
- Norwich, CT
National Provider Identifier
1982791877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 017543
- Practice address
- 26 Lafayette St
Norwich, CT 06360-3408 - Phone
- (860) 889-7321
- Fax
- (860) 889-7805
- NPI assigned
- Oct 10, 2006
- Last updated
- Jan 7, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 017543 | CT | Primary |
Addresses
Primary practice location
26 Lafayette St
Norwich, CT 06360-3408
Mailing address
196 Parkway S
Suite 304
Waterford, CT 06385-1234
Phone (860) 442-7027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001175439 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1982791877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 PARKWAY S",
"address_2": "SUITE 304",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063851234",
"telephone_number": "860-442-7027",
"fax_number": "860-444-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 LAFAYETTE ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063603408",
"telephone_number": "860-889-7321",
"fax_number": "860-889-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "CORNELIO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "017543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001175439",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.