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SI M BONG
NPI 1366077968
Physician Assistant in Flushing, NY

Active since March 04, 2020PECOS Enrolled
3916 PRINCE ST STE 251, FLUSHING, NY 11354(718) 886-3877 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Si M Bong NPPES

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

SI M BONG (NPI 1366077968) is an individual physician assistant in Flushing, New York, licensed in New York (024591) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366077968
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSI M BONG
Location Address3916 PRINCE ST STE 251Flushing, NY 11354-5367
Mailing Address13811 63rd AveFlushing, NY 11367-1105
Phone(718) 886-3877
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1366077968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 024591
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3916 PRINCE ST STE 251, Flushing, NY 11354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Si M Bong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012490550
PECOS Enrollment IDI20260312001159
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11354 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON LIN PA-C
Physician Assistant (Medical)
3916 PRINCE ST STE 251
FLUSHING, NY 11354
Queens County (718) 886-3877

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 Si Bong's NPI number?

The NPI number for Si Bong is 1366077968. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Si Bong located?

Si Bong practices at 3916 Prince St Ste 251, Flushing, NY 11354. The listed phone number is (718) 886-3877.

What is Si Bong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Si Bong enrolled in Medicare?

Yes. Si Bong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Si Bong was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.