1. Home
  2. Directory
  3. New York
  4. Albany
  5. Nurse Practitioner
  6. NPI Profile

HAEYOUNG CHONG
NPI 1174002646
Nurse Practitioner - Adult Health in Albany, NY

Active since August 07, 2018PECOS Enrolled
319 S MANNING BLVD STE 202, ALBANY, NY 12208(518) 435-0842 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Haeyoung Chong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAEYOUNG CHONG (NPI 1174002646) is an individual adult health provider in Albany, New York, licensed in New York (308868) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of George Washington University School Of Medicine (2018).

NPPES Registry Identity

NPI1174002646
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHAEYOUNG CHONG
Location Address319 S MANNING BLVD STE 202Albany, NY 12208-1743
Mailing Address2 Clarice LnCohoes, NY 12047-4862 · (801) 915-8664
Phone(518) 435-0842
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2018
Enumeration DateAugust 7, 2018
✔ NPI 1174002646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 308868
319 S MANNING BLVD STE 202, Albany, NY 12208
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haeyoung Chong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173869047
PECOS Enrollment IDI20190114002517
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Haeyoung Chong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Razaali H. Mamdani, MD, PLLC
7.2 mi
Internal Medicine
1500 2ND AVE
Watervliet, NY 12189
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1689046682 (518) 272-0028

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haeyoung Chong's NPI number?

The NPI number for Haeyoung Chong is 1174002646. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Haeyoung Chong located?

Haeyoung Chong practices at 319 S Manning Blvd Ste 202, Albany, NY 12208. The listed phone number is (518) 435-0842.

What is Haeyoung Chong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Haeyoung Chong enrolled in Medicare?

Yes. Haeyoung Chong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Haeyoung Chong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haeyoung Chong reassigns Medicare benefits to Razaali H. Mamdani, MD, PLLC (Watervliet, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haeyoung Chong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Haeyoung Chong affiliated with any hospitals?

According to CMS data, Haeyoung Chong is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Haeyoung Chong was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.