ALEX JIANG MD
NPI 1700672771
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 16, 2025PECOS Enrolled
3509 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3133 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alex Jiang Md NPPES

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

ALEX JIANG MD (NPI 1700672771) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Southampton.

NPPES Registry Identity

NPI1700672771
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEX JIANGCredential: MD
Location Address3509 N BROAD STPhiladelphia, PA 19140-4105
Mailing Address3509 N Broad St, Boyer Pavilion, 5th FloorPhiladelphia, PA 19140-4105 · (631) 726-0409
Sole ProprietorNo
Enumeration DateApril 16, 2025
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
NPI 1700672771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License MT236447 (PA)
3509 N BROAD ST, Philadelphia, PA 19140

Secondary Practice Location 1

Location 1240 Meeting House LnSouthampton, NY 11968-5009 · Phone (631) 723-6141

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alex Jiang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3509 N BROAD ST, SUITE 226
PHILADELPHIA, PA 19140
Psychiatry & Neurology (Neurology)
3509 N BROAD ST, FL 6 EAST TUCMC
PHILADELPHIA, PA 19140
Physician Assistant
3509 N BROAD ST
PHILADELPHIA, PA 19140
Ophthalmology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Psychiatry & Neurology (Neurology)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Otolaryngology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140

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 Alex Jiang's NPI number?

The NPI number for Alex Jiang is 1700672771. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Alex Jiang located?

Alex Jiang practices at 3509 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3133.

What is Alex Jiang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alex Jiang enrolled in Medicare?

Yes. Alex Jiang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alex Jiang was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.