Active NPI
Aimee Fong, PA-C
- Physician Assistant
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C5-0011788
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0011788 | DE | MD | Physician Assistant |
| MA-067102 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Spine & Interventional Pain LLC | Current | Accepting new patients | |
| Regional Orthopaedic Associates PA | Physician Assistant | Current | Accepting new patients |
| Revive Spine and Pain Center | Past | 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
- https://api.platform.athenahealth.com/18203/brand/1/csg/1/fhir/r4
- afong@direct.delortho.com
- 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.
-
- Interventional Pain Medicine Physician
- Newark, DE
- NPI 1659116770
PA
-
- Orthopaedic Surgery Physician
- Wilmington, DE
- NPI 1194735779
Physician Assistant
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Marlton, NJ
- NPI 1457896003
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.