Active NPI
Karen Fung Dante, M.D.
- Ophthalmology Physician
- Medford, NJ
National Provider Identifier
1285656124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MA53095
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA53095 | NJ | MD | Ophthalmology Physician |
| MD036852E | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Physicians & Surgeons of NJ | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Medford, NJ
- NPI 1154462034
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1417991720
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.