Healthcare Provider Details

I. General information

NPI: 1851901474
Provider Name (Legal Business Name): RONALD C. HUANG M.D. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 08/19/2022
Certification Date: 08/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5318 7TH AVE
BROOKLYN NY
11220-3121
US

IV. Provider business mailing address

207 E 57TH ST APT 7C
NEW YORK NY
10022-2818
US

V. Phone/Fax

Practice location:
  • Phone: 212-858-9828
  • Fax: 212-858-9728
Mailing address:
  • Phone: 609-865-7581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD HUANG
Title or Position: OWNER
Credential: MD
Phone: 609-865-7581