Provider Demographics
NPI:1346258001
Name:HONG, JOSEPH S (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
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 1:2 MONTAUK TRL
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4959
Mailing Address - Country:US
Mailing Address - Phone:212-978-8001
Mailing Address - Fax:
Practice Address - Street 1:1640 SCHLOSSER ST STE C3
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5656
Practice Address - Country:US
Practice Address - Phone:201-944-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA65696207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H11009Medicare UPIN
NJ035760Medicare ID - Type Unspecified