Individual provider Active NPI

Donald Fong, MD

  • Psychiatry Physician
  • Pennington, NJ
National Provider Identifier
1386690683
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA06643100 Issued in NJ
Practice address
100 Straube Center Blvd
Box H1
Pennington, NJ 08534-1447
Phone
(609) 737-7797
Fax
(609) 737-7499
NPI assigned
May 26, 2006
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA06643100 NJ Primary

Addresses

Primary practice location

100 Straube Center Blvd
Box H1
Pennington, NJ 08534-1447

Mailing address

100 Straube Center Blvd
Box H1
Pennington, NJ 08534-1447
Phone (609) 737-7797

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
I20060531000036 NJ Practitioner - Psychiatry 4284645680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas Tech University Health Science Center School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woods Psychotherapy Services, LLCGroup PAC ID 3476564873, 8 clinicians

Practice addresses (Care Compare)

100 Straube Ctr Blvd
Pennington, NJ 08534-1468
Phone (609) 737-7797

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woods Psychotherapy Services LLC Psychiatry Past Accepting new patients

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, 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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1386690683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STRAUBE CENTER BLVD",
            "address_2": "BOX H1",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341447",
            "telephone_number": "609-737-7797",
            "fax_number": "609-737-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STRAUBE CENTER BLVD",
            "address_2": "BOX H1",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341447",
            "telephone_number": "609-737-7797",
            "fax_number": "609-737-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06643100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.