NPIMap

Organization Active NPI

Raymond Fong MD, PC

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1184837437
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RAYMOND FONG MD, PC
Practice address
109 Lafayette St
Suite 502
New York, NY 10013-4154
Phone
(212) 274-1900
Fax
(212) 274-0738
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Raymond Fong, M.D.NPI 1730181868
Title
President
Phone
(212) 274-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

109 Lafayette St
Suite 502
New York, NY 10013-4154

Mailing address

109 Lafayette St
4 Floor
New York, NY 10013-4154
Phone (212) 274-1900

Other identifiers 1

IdentifierTypeStateIssuer
01949366MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Raymond Fong MD PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 Lafayette St
Rm 502
New York, NY 10013
Phone (212) 274-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1184837437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAFAYETTE ST",
            "address_2": "4 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134154",
            "telephone_number": "212-274-1900",
            "fax_number": "212-274-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LAFAYETTE ST",
            "address_2": "SUITE 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134154",
            "telephone_number": "212-274-1900",
            "fax_number": "212-274-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND FONG MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-274-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01949366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.