Active NPI
Raymond Fong MD, PC
- Ophthalmology Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RAYMOND FONG MD, PC
- Practice address
- 13620 38TH Ave
Suite 6H
Flushing, NY 11354-4233 - Phone
- (718) 762-3790
- Fax
- (718) 762-3801
- NPI assigned
- Apr 25, 2007
- Last updated
- Nov 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Fong, M.D.
- Title
- President
- Phone
- (718) 762-3790
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
13620 38TH Ave
Suite 6H
Flushing, NY 11354-4233
Mailing address
13620 38TH Ave
Suite 6H
Flushing, NY 11354-4233
Phone (718) 762-3790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01949366 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040109000256 | NY | Part B Supplier - Clinic/Group Practice | 5496655292 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Flushing, NY; New York, NY; Brooklyn, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Raymond Fong MD PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- New York, NY
- NPI 1083619274
-
- Ophthalmology Physician
- New York, NY
- NPI 1184837437
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1962621862
Locations
6402 8th Ave
Ste 302
Brooklyn, NY 11220
Phone (516) 610-3711
13681 Roosevelt Ave
Ste 2
Flushing, NY 11354
Phone (718) 353-4777
Practitioners & affiliated clinicians
Practitioners 16
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.
-
- Ophthalmology Physician
- New York, NY
- NPI 1730181868
-
- Retina Specialist (Ophthalmology) Physician
- Elmhurst, NY
- NPI 1467446575
-
- Ophthalmology Physician
- Jamestown, NY
- NPI 1881888642
-
- Ophthalmology Physician
- Mount Vernon, NY
- NPI 1235201443
-
- Optometrist
- New York, NY
- NPI 1336143890
-
- Ophthalmology Physician
- New York, NY
- NPI 1922083179
-
- Optometrist
- Forest Hills, NY
- NPI 1508860065
-
- Optometrist
- New York, NY
- NPI 1518166990
-
- Ophthalmology Physician
- Bronx, NY
- NPI 1497750673
-
- Optometrist
- New York, NY
- NPI 1427052984
-
- Ophthalmology Physician
- Flushing, NY
- NPI 1134210941
-
- Optometrist
- New York, NY
- NPI 1992895817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1619196516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13620 38TH AVE",
"address_2": "SUITE 6H",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544233",
"telephone_number": "718-762-3790",
"fax_number": "718-762-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 38TH AVE",
"address_2": "SUITE 6H",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544233",
"telephone_number": "718-762-3790",
"fax_number": "718-762-3801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND FONG MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "FONG",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-762-3790",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01949366",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.