Phoenix C Fung, M.D.
Individual provider Active NPI Gastroenterology Physician · Pittsburgh, PA
NPI 1619214285 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1619214285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- MD460608 (PA)
- Practice address
- 1307 Federal St Ste B100
Pittsburgh, PA 15212 - Phone
- (412) 359-8900
- Fax
- (412) 359-8977
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- New York Medical College, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hackensack Meridian Health Medical Group - Specialty Care PC
Hallmark Health Medical Associates Inc
Pratt Medical Group Inc
Practice addresses (Care Compare)
1301 Route 72 W
Suite 300
Manahawkin, NJ 08050-2483
Phone (609) 597-6513
425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606
585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Hospital & facility affiliations
- Southern Ocean Medical Center
- Tufts Medical Center
- Melrosewakefield Healthcare
- The University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 45 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 51 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140926000641 | NJ | Practitioner - Internal Medicine | 3476773458 | Reassigns benefits to 1 organization |
| I20230623002075 | MA | Practitioner - Gastroenterology | 3476773458 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hallmark Health Medical Associates Inc | Gastroenterology | Current |
Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Pratt Medical Group, Inc | Gastroenterology | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Pratt Medical Group, Inc | Current |
Accepting new patients | |
| Pratt Medical Group, Inc | Current |
Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
425 Revere St
Revere, MA 02151
Phone (781) 286-1313
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1301 Route 72 W
Ste 300
Manahawkin, NJ 08050
Phone (609) 597-6513
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514
Interoperability endpoints
- pfung160214@direct.ahn.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA09289100 | NJ | |
| Gastroenterology Physician | 207RG0100X | MD460608 | PA | Yes |
Addresses
Primary practice location
1307 Federal St Ste B100
Pittsburgh, PA 15212
Mailing address
331 Newman Springs Road
BLDG. 2, Suite 220
Red Bank, NJ 07701
Phone (732) 807-0877
Other practice location 1
1301 Route 72 W Ste 300
Manahawkin, NJ 08050-2483
Phone (609) 597-6513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13773815 | Other | CAQH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pfung160214@direct.ahn.org |
Other providers in Pittsburgh, PA
- Maria Terese Funair
- Bryan J Funari
- Dana Renee Funari
- Jennifer Funari
- Marc Edward Funderlich Jr.
- Ayla Funk
- Riley Funk
- Andrea Sanfilippo Funkhouser
- Megan Funkhouser
- Loren Scott Funt
All providers in Pittsburgh, PA · Gastroenterology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.