Fong Lu Physician PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

205684 Issued in NY

Legal business name

FONG LU PHYSICIAN PC

Practice address

3907 Prince St
4A
Flushing, NY 11354-5399

Phone

(718) 661-9909

Fax

(718) 661-0977

NPI assigned

Jan 27, 2011

Last updated

Jan 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fong Lu, M.D.NPI 1194802686

Title

President

Phone

(718) 661-9909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fong Lu, MD

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1194802686
  Medicare reassignment NPD Authorized official
• Friedrich Co Ortega, RPT

  • Physical Therapist
  • Bronx, NY
  • NPI 1386188670
  Medicare reassignment
• Shu-Huei Su

  • Physical Therapist
  • Flushing, NY
  • NPI 1407186372
  NPD (past)

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1508162322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 PRINCE ST",
            "address_2": "4A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545399",
            "telephone_number": "718-661-9909",
            "fax_number": "718-661-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 PRINCE ST",
            "address_2": "4A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545399",
            "telephone_number": "718-661-9909",
            "fax_number": "718-661-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONG LU PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "FONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-661-9909",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "205684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focus Point Optical Inc
• Focus Point Optical Inc
• Lisa Rebecca Fogel, M.S.W.
• Christopher M Foglia, M.D.
• Melissa Rose Foley
• Fan Fong, PHARM D
• Sum Yee Fong, AUD
• Foot and Ankle Center of Fort Lee Podiatry
• Foot Care of Flushing, P.C.
• Sandra L. Forde, M.D.

• Physical Medicine & Rehabilitation Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.