Kemoy Fong

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ14897500 Issued in NJ

Practice address

707 S Orange Ave
South Orange, NJ 07079-2698

Phone

(973) 761-6111

Fax

(973) 761-6111

NPI assigned

Apr 30, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kemoy.fong.1@23475.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23475/brand/1/csg/1/fhir/r4

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.

• Hospitalist Physicians of New Jersey PA

  • Hospitalist Physician
  • Edison, NJ
  • NPI 1588021851
  Medicare reassignment Care Compare group
• Avedamed LLC

  • Internal Medicine Physician
  • Maplewood, NJ
  • NPI 1538432786
  Medicare reassignment NPD
• The Heart Specialists Group, LLC

  • Cardiovascular Disease Physician
  • Glendale, AZ
  • NPI 1740355627
  NPD
• Clinton Medical Associates PA

  • Internal Medicine Physician
  • South Orange, NJ
  • NPI 1295747871
  NPD (past)

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

• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Holmdel, NJ
  • NPI 1740907336

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Holmdel, NJ
  • NPI 1760994412
  Care Compare affiliation

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1457096828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 W LAKEWOOD LN APT 3B",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548230",
            "telephone_number": "407-616-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792698",
            "telephone_number": "973-761-6111",
            "fax_number": "973-761-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "KEMOY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-30",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "11742-33",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ14897500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Final Stop Family Services
• First Help Home Aide Care LLC
• Baijna Florestal, RBT
• Baijnatha Florestal, RBT
• Pamela F Foley, PHD
• Duane Fredericks, M.D.
• Tracy Margaret Fredericks, LCSW, MSW
• Walter F Fricke, D.AC, L.AC.
• Khadijah Friday
• Blaire Erica Fuchs, LCSW

• Acute Care Nurse Practitioner in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.