Active NPI
Anne Mary Lai-Hing Fang, DDS
- Prosthodontics
- Berkeley Heights, NJ
National Provider Identifier
1629176342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 13152
- Practice address
- 299 Springfield Ave
Berkeley Heights, NJ 07922-1215 - Phone
- (908) 464-1967
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 13152 | NJ | Primary |
Addresses
Primary practice location
299 Springfield Ave
Berkeley Heights, NJ 07922-1215
Mailing address
299 Springfield Ave
Berkeley Heights, NJ 07922-1215
Phone (908) 464-1967
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160224000903 | NJ | Order and Referring Only - Dentist | 8628373982 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13152 | NJ | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629176342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 SPRINGFIELD AVE",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079221215",
"telephone_number": "908-464-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 SPRINGFIELD AVE",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079221215",
"telephone_number": "908-464-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "ANNE MARY",
"middle_name": "LAI-HING",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "13152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.