Ahn, Jiyong
Ahn, Jiyong is an individual health care provider with primary practice located at 716 Broadway Apt 1 , Bayonne NJ 07002-4763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Ahn, Jiyong can be contacted via phone (646) 522-2104.Contact Information
Primary practice address
716 Broadway Apt 1
Bayonne NJ 07002-4763
Phone: (646) 522-2104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 187193 | New York |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD45416 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0101257691 | Virginia |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | D79532 | Maryland |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 44196 | Connecticut |
Profile Details
| NPI number | 1841298833 |
|---|---|
| LBN Legal business name | Ahn, Jiyong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jun 6th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841298833 | NPPES |
| Maryland | Other | 339L | MEDICARE GROUP PTAN |
| Maryland | Other | 789511 | MEDICARE GROUP PTAN |
| Maryland | Other | 194873 | MEDICARE GROUP PTAN |
| Maryland | Other | G01618 | MEDICARE GROUP PTAN |
| Maryland | Other | 2323842 | MEDICARE GROUP PTAN |
| Maryland | Other | C10441 | MEDICARE GROUP PTAN |
| Maryland | Other | D100037356 | MEDICARE GROUP PTAN |
| Maryland | Other | 789510 | MEDICARE GROUP PTAN |
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