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RUI DONG MD, MPH
NPI 1962065102
Pediatrics - Developmental - Behavioral Pediatrics in New York, NY

Active since April 14, 2019PECOS Enrolled
301 E 17TH ST, NEW YORK, NY 10003(212) 598-6205 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 14, 2026, Apr 14, 2019 (2 updates tracked since 2019).

About Rui Dong Md, Mph NPPES

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

RUI DONG MD, MPH (NPI 1962065102) is an individual developmental - behavioral pediatrics provider in New York, New York, licensed in New York (340511) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962065102
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameRUI DONGCredential: MD, MPH
Location Address301 E 17TH STNew York, NY 10003-3804
Mailing Address1184 5th AveNew York, NY 10029-6503 · (212) 241-9500
Phone(212) 598-6205
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 14, 2019
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1962065102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in NY · 340511
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
301 E 17TH ST, New York, NY 10003
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rui Dong Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173854908
PECOS Enrollment IDI20251212002249
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 Rui Dong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,038 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

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.

DR. CHRISTOPHER MICHAEL PETRILLI MD
Hospitalist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6531
JENNA SNYDER
Occupational Therapist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6000
CHRISTINE JEONG OTD, OTR/L, CSRS
Occupational Therapist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6558
LOUIS DIZON MD
Physical Medicine & Rehabilitation
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6351
THERESA TENN RPH
Pharmacist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6713
MS. VICTORIA ROSE LARGO LCSW
Specialist
301 E 17TH ST
NEW YORK, NY 10003
New York County (347) 989-7115
HJD DIABETIC FOOT & ANKLE CTR
Podiatrist (Primary Podiatric Medicine)
301 E 17TH ST, 10TH FLOOR
NEW YORK, NY 10003
New York County (212) 460-0110
MRS. SONAL THAKKER FNP-C
Nurse Practitioner (Family)
301 E 17TH ST, NURSING OFFICE
NEW YORK, NY 10003
New York County (212) 598-7674

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 Rui Dong's NPI number?

The NPI number for Rui Dong is 1962065102. It was assigned to this individual provider in the NPPES registry on April 14, 2019.

Where is Rui Dong located?

Rui Dong practices at 301 E 17th St, New York, NY 10003. The listed phone number is (212) 598-6205.

What is Rui Dong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Rui Dong enrolled in Medicare?

Yes. Rui Dong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rui Dong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rui Dong reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Rui Dong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rui Dong was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.