Jorge A Fong, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9297646 Issued in FL

Practice address

3805 W 20TH Ave Ste 105
Hialeah, FL 33012-4532

Phone

(305) 557-2277

Fax

(786) 621-7818

NPI assigned

Oct 30, 2014

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Medical Group of Hialeah, LLC.

  dba Community Medical Group

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1427330091
  Medicare reassignment NPD
• Access Medical Group of Miami, LLC.

  dba Community Medical Group

  • Family Medicine Physician
  • Miami, FL
  • NPI 1619259264
  Medicare reassignment NPD
• Ideal Medical Center of Miami

  • Family Medicine Physician
  • Miami, FL
  • NPI 1336473917
  NPD (past)

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1629473707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 W 20TH AVE STE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124532",
            "telephone_number": "305-557-2277",
            "fax_number": "786-621-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W 20TH AVE STE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124532",
            "telephone_number": "305-557-2277",
            "fax_number": "786-621-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "JORGE",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9297646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014504400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jorge.fong@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Health information has changed",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "3805 W 20th Ave Ste 105",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330124532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cindy Judith Floyd, ARNP
• Focus Care Optometry Inc.
• Chelsey Fojo, DPT
• Roberto Fojo Jr., M.D., M.B.A.
• Anca Maria Folea, R.D.
• Vilmarie Yasmin Fong, APRN
• Irina Fonseca Cruz
• Juan Carlos Fonseca Milian, MD
• Luis Roberto Fonseca Toranzo
• Osmaida Fonseca Veloso

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.

Verify at the official NPI Registry.