EMILY W JIANG – Physician Assistant, NPI 1083254643

EMILY W JIANG is a healthcare provider. based in Bronx, New York. specializing in Physician Assistant. They hold a License No. 024562 (NY). The NPI Number for EMILY W JIANG is 1083254643

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
EMILY W JIANG
NPI
1083254643
Phone
(917) 655-9577
Address
1210 WEBSTER AVE
Enumeration Date
13 January 2020
Last Update Date
26 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6466127747
Graduation Year
2019 (7 years ago)
PAC ID
8022447853
Group Practice PAC ID
5193030245
Professional Enrollment ID
I20200331000279
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for EMILY W JIANG

  • 1210 WEBSTER AVE

    BRONX, NY 10456

    Phone: (917) 655-9577

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $308.

Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.

Last reported payment date: 2024-09-14 • Largest payer in this snapshot: Merz North America, Inc. ($147).

Total Amount

$308

General + Research + Ownership

Payments

4

Total payment records

General Amount

$308

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200331000279IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 10456)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193030245View full group profile
NameSpecialtyState
Nurse PractitionerNY
Emergency MedicineNY
Nurse PractitionerNY
Physician AssistantNY
Physician AssistantNJ
Physician AssistantNY
Physician AssistantNY
Physician AssistantNY
Nurse PractitionerNY
Nurse PractitionerNY

Reviews

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Frequently asked questions

What NPI should I save for EMILY W JIANG?
Save NPI 1083254643 if you need a stable reference for EMILY W JIANG.
Is EMILY W JIANG's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does EMILY W JIANG work in?
You can think of EMILY W JIANG as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for EMILY W JIANG?
We surface Bronx, New York for EMILY W JIANG based on available NPPES addresses.
What if Bronx, New York seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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