NPIMap

Individual provider Active NPI

Fangming Deng, M.D.

  • Anatomic Pathology Physician
  • Syracuse, NY
National Provider Identifier
1205072352
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
258637 Issued in NY
Practice address
750 E Adams St
Syracuse, NY 13210-2342
Phone
(315) 464-5136
NPI assigned
Dec 19, 2008
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology Physician 207ZP0101X 258637 NY Primary

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2342

Mailing address

750 E Adams St
Syracuse, NY 13210-2342
Phone (315) 464-5136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000307 NY Practitioner - Pathology 4082885876 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Forest Hills Gastroenterology PCGroup PAC ID 7416846860, 4 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Zhao Gastroenterology and Hepatology PCGroup PAC ID 2365686532, 2 clinicians
Newtown Gastroenterology PCGroup PAC ID 4587044375, 12 clinicians

Practice addresses (Care Compare)

10919 72ND Rd
Forest Hills, NY 11375-7826
Phone (718) 268-0418

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

300 Fort Washington Ave
Ofc 1
New York, NY 10032-1323
Phone (212) 316-3276

4199 Main St
Suite 203
Flushing, NY 11355-5164
Phone (718) 886-2488

761 55TH St
FL 2
Brooklyn, NY 11220-3210
Phone (646) 609-6138

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Medical Professionals CurrentSince Nov 1, 2015 Accepting new patients
Zhao Gastroenterology & Hepatology PC CurrentSince Nov 1, 2014 Accepting new patients
New York University CurrentSince Feb 19, 2012 Accepting new patients
Newtown Gastroenterology PC CurrentSince Aug 17, 2024 Accepting new patients
New York University CurrentSince Feb 19, 2012 Accepting new patients
Intercity Gastroenterology P.C CurrentSince Jun 15, 2021 Accepting new patients
Sanford Endoscopy PLLC CurrentSince Jun 1, 2020 Accepting new patients
Isadore P Gutwein MD & Robert a Sable MD PC CurrentSince Jul 22, 2014 Accepting new patients
Forest Hills Gastroenterology P.C. CurrentSince Jun 1, 2020 Accepting new patients
Manhattan West Side Medical Services PLLC CurrentSince Mar 15, 2021 Accepting new patients
Eighth Avenue Anesthesia PLLC Past Accepting new patients
Pathology Solutions LLC Past Accepting new patients
Ave P Medical PC Past Accepting new patients
New York University Medical Center Pathology Associates Anatomic Pathology PastSince Aug 1, 1991 Accepting new patients

Locations

3765 Riverdale Ave
Ste 7
Bronx, NY 10463
Phone (718) 543-3636

13347 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 461-9779

4199 Main St
Ste 203
Flushing, NY 11355
Phone (718) 886-2488

19303 Union Tpke
Fresh Meadows, NY 11366
Phone (516) 721-4648

120 E 86th St
Fl 2
New York, NY 10028
Phone (212) 427-2000

300 Fort Washington Ave
Ofc 1
New York, NY 10032
Phone (212) 316-3276

530 1st Ave
#10U
New York, NY 10016
Phone (212) 263-5687

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1205072352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENG",
        "first_name": "FANGMING",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "258637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.