Individual provider Active NPI

Karen Fung Dante, M.D.

  • Ophthalmology Physician
  • Medford, NJ
National Provider Identifier
1285656124
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA53095 Issued in NJ
Practice address
73 S Main St
Medford, NJ 08055-2430
Phone
(609) 654-6140
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA53095 NJ Primary
Ophthalmology Physician 207W00000X MD036852E PA

Addresses

Primary practice location

73 S Main St
Medford, NJ 08055-2430

Mailing address

360 Station Ave
Haddonfield, NJ 08033-3721
Phone (856) 795-6627

Other names 1

  • Dr. Karen L Fung Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000708 NJ Practitioner - Ophthalmology 1658317821 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA53095NJMDOphthalmology Physician
MD036852EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Physicians & Surgeons of NJ Ophthalmology CurrentSince Feb 12, 2005 Accepting new patients
Cataract and Primary Eye Care Service, LP Ophthalmology Past Accepting new patients

Locations

73 S Main St
#F
Medford, NJ 08055

73 S Main St
Medford, NJ 08055
Phone (609) 654-6140

Interoperability endpoints

  • Direct secure messaging: karendanteeyecareofnewjersey@epsnj.direct.eyemdemr.com

Organizations & group practices 2

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1285656124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATION AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333721",
            "telephone_number": "856-795-6627",
            "fax_number": "856-795-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 S MAIN ST",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552430",
            "telephone_number": "609-654-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTE",
        "first_name": "KAREN",
        "middle_name": "FUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA53095",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD036852E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "FUNG",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.