Provider Demographics
NPI:1932261716
Name:HU, JIONG-MING (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JIONG-MING
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13620 38TH AVE
Mailing Address - Street 2:5G
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4233
Mailing Address - Country:US
Mailing Address - Phone:718-353-9698
Mailing Address - Fax:718-353-0387
Practice Address - Street 1:13620 38TH AVE
Practice Address - Street 2:5G
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4233
Practice Address - Country:US
Practice Address - Phone:718-353-9698
Practice Address - Fax:718-353-0387
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211214207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02156476Medicaid
NY043713531Other1199-NATIONAL BENEFIT
NY139166BJOtherPREFERRED CARE
NY165260OtherWELLCARE
NY2088136OtherUHC, EMPIRE PLAN
NY2985909OtherAETNA-HMO
NYP1984215OtherOXFORD
NY211214-B27OtherHIP
NY0409889005OtherCIGNA-SPECIALIST
NY211214-B27OtherHEALTHFIRST
NY0409889004OtherCIGNA-INTERNAL MEDICINE
NY4C3078OtherHEALTH NET, GUARDIAN
NY000206060101OtherHEALTH PLUS
NY043713531OtherTAX ID
NY079AZ1OtherBLUE CROSS BLUE SHIELD
NY2593946OtherGHI
NY7971326OtherAETNA-PPO
NY2593946OtherGHI
NY56B361Medicare ID - Type UnspecifiedMEDICARE-EMPIRE
NY02156476Medicaid