Individual provider Active NPI

Aimee Fong, PA-C

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1013647015
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0011788 Issued in DE
Practice address
774 Christiana Rd Ste 201
Newark, DE 19713-4221
Phone
(302) 366-2000
Fax
(302) 533-2424
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0011788 DE Primary
Physician Assistant 363A00000X MA-067102 PA

Addresses

Primary practice location

774 Christiana Rd Ste 201
Newark, DE 19713-4221

Mailing address

2130 E Sergeant St Apt 3
Philadelphia, PA 19125-1757
Phone (914) 255-5064

Other practice location 1

6 Dickinson Dr Ste 302
Chadds Ford, PA 19317-9672
Phone (610) 632-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220927000204 DE Practitioner - Physician Assistant 6901282177 Reassigns benefits to 1 organization
I20260605002099 PA Practitioner - Physician Assistant 6901282177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Spine and Interventional Pain LLCGroup PAC ID 3173069135, 4 clinicians

Practice addresses (Care Compare)

6 Dickinson Dr
Suite 302
Chadds Ford, PA 19317-9672
Phone (610) 632-1008

774 Christiana Rd
Suite 201
Newark, DE 19713-4221
Phone (302) 366-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0011788DEMDPhysician Assistant
MA-067102PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Spine & Interventional Pain LLC CurrentSince Nov 3, 2025 Accepting new patients
Regional Orthopaedic Associates PA Physician Assistant Current Accepting new patients
Revive Spine and Pain Center PastSince Feb 4, 2024 Accepting new patients

Locations

1082 Old Churchmans Rd
Ste 100
Newark, DE 19713
Phone (302) 444-8156

774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017

1941 Limestone Rd
Ste 101
Wilmington, DE 19808
Phone (302) 633-3555

6 Dickinson Dr
Ste 302
Chadds Ford, PA 19317
Phone (610) 632-1008

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18203/brand/1/csg/1/fhir/r4
  • Direct secure messaging: afong@direct.delortho.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCFGDD/Endpoint/BCFGDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1013647015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 E SERGEANT ST APT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251757",
            "telephone_number": "914-255-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD STE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134221",
            "telephone_number": "302-366-2000",
            "fax_number": "302-533-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Dickinson Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Chadds Ford",
            "state": "PA",
            "postal_code": "193179672",
            "country_code": "US",
            "telephone_number": "610-632-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG",
        "first_name": "AIMEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011788",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA-067102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.