Tae Jeong Gong
NPI 1790463883 · Student in an Organized Health Care Education/Training Program · Las Vegas, NV
Tae Jeong Gong is a Student in an Organized Health Care Education/Training Program provider in Las Vegas, NV (NPI 1790463883).
Provider details
- NPI number
- 1790463883
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-07
- Last updated
- 2023-07-07
- Certified
- 2023-07-07
Frequently asked questions
- What is Tae Jeong Gong's NPI number?
- Tae Jeong Gong's National Provider Identifier (NPI) is 1790463883, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tae Jeong Gong's specialty?
- Tae Jeong Gong is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Tae Jeong Gong located?
- Tae Jeong Gong's practice location on file with NPPES is 1001 Shadow Ln, Las Vegas, NV 89106-4124.
- What is Tae Jeong Gong's phone number?
- The practice phone number listed in the NPPES registry for Tae Jeong Gong is (702) 895-3011.
- Is Tae Jeong Gong's NPI active?
- Yes — Tae Jeong Gong's NPI (1790463883) is active in the NPPES registry as of the last update on 2023-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.