JESSICA CHONG (NPI# 1881026714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881026714 |
| Entity Type | Individual |
| Full Name | JESSICA CHONG |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
7715 4th Ave Brooklyn NY 11209-3439 |
| Mailing Address |
7715 4th Avenue Brooklyn NY 11209 |
| Practice Telephone | 7188332300 |
| Mailing Telephone | 7188332300 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 018917 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972035285 | Jessica M Chong | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Internal Medicine, Shreveport, LA 71103-4228 | 2017-03-28 |
| 1396021002 | Jessica S Chong | Podiatrist | 13768 Roswell Ave, Suite #107, Chino, CA 91710-1401 | 2011-10-26 |
| 1154388015 | Jessica Chong | Pharmacist | 325 9th Ave, Seattle, WA 98104-2420 | 2006-04-26 |
| Street Address |
7715 4TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955527 | Michael P Gabriel Sr. | Pediatrics | 7715 4th Ave, Brooklyn, NY 11209-3439 | 2005-07-12 |
| 1316500440 | Claire Therese Anton | Nurse Practitioner | 7715 4th Ave, Brooklyn, NY 11209-3439 | 2019-04-15 |
| 1619390879 | Gpm Pediatrics PC | Pediatrics | 7715 4th Ave, Brooklyn, NY 11209-3439 | 2014-01-23 |
| 1518193457 | Janel Heather Zacchilli | Pediatrics | 7715 4th Ave, Brooklyn, NY 11209-3439 | 2009-06-05 |
| 1992981955 | Mario N Genovese Dpm, PC | Podiatrist | 7715 4th Ave, Brooklyn, NY 11209-3439 | 2008-01-21 |
| 1275736555 | Maria Antonios Vomvolakis | Pediatrics | 7715 4th Ave, Brooklyn, NY 11209-3439 | 2007-06-06 |
| 1447337738 | Mario Nicholas Genovese | Podiatrist | 7715 4th Ave, Brooklyn, NY 11209-3439 | 2006-11-01 |
| 1356392922 | Mary Lou Hire | Pediatrics | 7715 4th Ave, Brooklyn, NY 11209-3439 | 2006-05-16 |
| 1649259326 | Lateesa Thamani Posey | Nurse Practitioner | 7715 4th Ave, Brooklyn, NY 11209-3439 | 2006-01-11 |
| 1164401030 | Theodoros Raptis | Pediatrics | 7715 4th Ave, Brooklyn, NY 11209 | 2006-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1184250540 | Daily Strength Physical Therapy Pllc | Physical Therapist | 343 Marshall Drive N #2a, Brooklyn, NY 11209 | 2020-03-18 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1932660917 | Kristen Elizabeth Dalelio | Social Worker | 9401 4th Ave Fl 1, Brooklyn, NY 11209 | 2019-03-30 |
| 1346706413 | Yelena Lobova | Specialist | 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 | 2019-02-13 |
| 1841781648 | Ian Rugg Psychology Pllc | Psychologist | 545 73rd Street, Ground Floor, Brooklyn, NY 11209 | 2018-05-29 |
| 1194227520 | Constantinos Kokkinos | Social Worker | 37 72nd St Apt 1, Brooklyn, NY 11209 | 2018-03-01 |
| 1760905186 | Ankita Luthra | Student in an Organized Health Care Education/Training Program | 470 84th Street Brooklyn, New York, NY 11209 | 2017-07-18 |
| 1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
| 1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
| Find all providers in zip 11209 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 1376142737 | Amanda Shinall | Physician Assistant | 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 | 2020-10-18 |
| 1497353825 | Tsz Yan Soo | Physician Assistant | 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 | 2020-10-16 |
| 1164038907 | Emily Mai | Physician Assistant | 1956 W 9th St, Brooklyn, NY 11223-2548 | 2020-09-17 |
| 1497369342 | Krystal Renee Alexander | Physician Assistant | 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 | 2020-09-08 |
| 1578177390 | Celia Chen | Physician Assistant | 2628 E 18th St, Brooklyn, NY 11235-3659 | 2020-08-31 |
| 1669084547 | Peter Forman | Physician Assistant | 86 Saint Felix St, Brooklyn, NY 11217-3032 | 2020-08-20 |
| 1699383646 | Fabienne Mondelus | Physician Assistant | 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 | 2020-07-15 |
| 1508492729 | Esther Weitzner | Physician Assistant | 1195 E 12th St, Brooklyn, NY 11230-4811 | 2020-03-19 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.