Doctor Gong Internal Medicine Clinic is a medicare enrolled primary clinic (Internal Medicine) in Demarest, New Jersey. The current practice location for Doctor Gong Internal Medicine Clinic is 68 Holland Ave, Demarest, New Jersey. For appointments, you can reach them via phone at
(212) 305-2862. The mailing address for Doctor Gong Internal Medicine Clinic is 68 Holland Ave, Demarest, New Jersey and phone number is (201) 658-3148.
Doctor Gong Internal Medicine Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1902520166. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(212) 305-2862.
Primary Care Clinic Profile
| Full Name | Doctor Gong Internal Medicine Clinic |
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| Speciality | Internal Medicine |
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| Location | 68 Holland Ave, Demarest, New Jersey |
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| Authorized Official Name and Position | Bing Gong (OWNER) |
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| Authorized Official Contact | 2016583148 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Doctor Gong Internal Medicine Clinic
68 Holland Ave
Demarest
NJ 07627-2715
Ph: (201) 658-3148 | Doctor Gong Internal Medicine Clinic
68 Holland Ave
Demarest
NJ 07627-2715
Ph: (212) 305-2862 |
NPI Details:
| NPI Number | 1902520166 |
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| Provider Enumeration Date | 09/30/2022 |
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| Last Update Date | 03/25/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7618343799 |
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| Medicare Enrollment ID | O20221013003070 |
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Medical Identifiers
Medical identifiers for Doctor Gong Internal Medicine Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902520166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Doctor Gong Internal Medicine Clinic acts as a billing entity for following providers:
| Provider Name | Bing Gong |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1306238100
PECOS PAC ID: 7214282755
Enrollment ID: I20180625000811 |
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