Individual provider Active NPI

Kim Fong, L.AC.P.T.

  • Orthopedic Physical Therapist
  • Westfield, NJ
National Provider Identifier
1194848291
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA00680100 Issued in NJ
Practice address
415 Rahway Ave
1St Floor, Rear
Westfield, NJ 07090-3371
Phone
(908) 301-9055
Fax
(908) 301-9056
NPI assigned
Apr 6, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00021400 NJ
Pediatric Physical Therapist 2251P0200X 40QA00680100 NJ
Orthopedic Physical Therapist 2251X0800X 40QA00680100 NJ Primary

Addresses

Primary practice location

415 Rahway Ave
1St Floor, Rear
Westfield, NJ 07090-3371

Mailing address

415 Rahway Ave
1St Floor, Rear
Westfield, NJ 07090-3371
Phone (908) 301-9055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00021400NJMDAcupuncturist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194848291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 RAHWAY AVE",
            "address_2": "1ST FLOOR, REAR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903371",
            "telephone_number": "908-301-9055",
            "fax_number": "908-301-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 RAHWAY AVE",
            "address_2": "1ST FLOOR, REAR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903371",
            "telephone_number": "908-301-9055",
            "fax_number": "908-301-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "KIM",
        "credential": "L.AC.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00021400",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA00680100",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00680100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.