Individual provider Active NPI

Jimmy Ji Feng, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1992382287
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
334435 Issued in NY
Practice address
83 Avenue O
Brooklyn, NY 11204-6542
Phone
(347) 559-3808
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200570 CA
Psychiatry Physician 2084P0800X 334435 NY Primary

Addresses

Primary practice location

83 Avenue O
Brooklyn, NY 11204-6542

Mailing address

1789 W 12TH St
Brooklyn, NY 11223-1145
Phone (631) 444-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250903002904 CA Practitioner - Psychiatry 6305348020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contra Costa CountyGroup PAC ID 8628052974, 74 clinicians

Practice addresses (Care Compare)

1420 Willow Pass Rd
Concord, CA 94520-5823
Phone (925) 646-5480

2523 El Portal Dr
San Pablo, CA 94806-3305
Phone (510) 215-3730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200570CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County CurrentSince Aug 4, 2025 Accepting new patients
Contra Costa County CurrentSince Jul 9, 2025 Accepting new patients
Contra Costa County CurrentSince Aug 4, 2025 Accepting new patients
Jimmy J Feng MD PLLC Psychiatry Current Accepting new patients

Locations

1420 Willow Pass Rd
Concord, CA 94520
Phone (925) 387-9575

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

83 Avenue O
Brooklyn, NY 11204
Phone (347) 559-3808

Organizations & group practices 4

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1992382287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 W 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231145",
            "telephone_number": "631-444-3005",
            "fax_number": "631-444-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 AVENUE O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046542",
            "telephone_number": "347-559-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENG",
        "first_name": "JIMMY",
        "middle_name": "JI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "200570",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "334435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.