Provider Demographics
NPI:1851379473
Name:HONG, RICK (MD)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLAZA
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:ONE COOPER PLAZA
Practice Address - Street 2:COOPER UNIVERISITY EMERGENCY PHYSICIANS
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-342-2930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10007347207P00000X
NJMA075106207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0128881Medicaid
NJ1506515OtherAETNA
NJ3250501OtherCIGNA
NJ2469112OtherUNITED HEALTHCARE
NJ2841378000OtherAMERIHEALTH/KEYSTONE/IBC
NJ60030611OtherHORIZON NJ HEALTH
DE1000032979Medicaid
NJ012278367OtherAMERICHOICE
NJP3288698OtherOXFORD
NJ3250501OtherCIGNA
I17857Medicare UPIN
NJ110687SZFMedicare PIN