Individual ProviderJuliang DengInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4202 Kissena Blvd, Flushing, NY 11355-3214(718) 428-8699(516) 802-2343PECOS EnrollmentBased on the most recent information from CMS, provider Juliang Deng is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1164547402Provider TypeIndividualFull NameDeng, JuliangCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date3/19/2007Last Updated2/13/2008Contact InformationPractice LocationPractice Address4202 Kissena Blvd, Flushing, NY 11355-3214Phone(718) 428-8699Fax(718) 463-2197Mailing LocationMailing Address106 Sterling Ct, Syosset, NY 11791-2420Phone(516) 802-2343Fax(718) 463-2197Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense200689New YorkProvider IdentifiersIDDescriptionIssuerID200689DescriptionOtherIssuerHIPNew YorkID20068901DescriptionOtherIssuerNEIGHBORHOODNew YorkID4C5040DescriptionOtherIssuerPHSNew YorkID0100694DescriptionOtherIssuerAMERICHOICENew YorkID292811DescriptionOtherIssuerWELLCARENew YorkID402392DescriptionOtherIssuerUNITED HEALTHCARENew YorkID117901DescriptionOtherIssuerELDERPLANNew YorkID912380DescriptionOtherIssuerAETNANew YorkID01837512DescriptionMedicaidIssuerUnlistedNew YorkID432396NHDescriptionOtherIssuerCIGNANew YorkIDJD07633610DescriptionOtherIssuerBCBSNew YorkID010200689NY01DescriptionOtherIssuerANTHEM HEALTH NETWORKNew YorkIDP451081DescriptionOtherIssuerOXFORD INSURANCENew YorkID200689-A45DescriptionOtherIssuer1199 NATIONAL BENEFIT FUNNew YorkID2595031DescriptionOtherIssuerGHINew York