Organization Active NPI

Raymond Fong MD, PC

  • Eyewear Supplier
  • New York, NY
National Provider Identifier
1669456711
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
150422 Issued in NY
Legal business name
RAYMOND FONG MD, PC
Practice address
109 Lafayette St
4TH Floor
New York, NY 10013-4154
Phone
(212) 274-1900
Fax
(212) 274-0738
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Dr. Raymond Fong, MD
Title
President
Phone
(212) 274-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 150422 NY Primary

Addresses

Primary practice location

109 Lafayette St
4TH Floor
New York, NY 10013-4154

Mailing address

13620 38TH Ave
Suite 6H
Flushing, NY 11354-4277
Phone (718) 762-3790

Other names 1

  • New York Eye Center Optical Dispensary Other name

National Provider Directory

National Provider Directory

Locations

109 Lafayette St
Fl 4
New York, NY 10013
Phone (212) 274-1900

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1669456711",
    "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": "113544277",
            "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": "109 LAFAYETTE ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134154",
            "telephone_number": "212-274-1900",
            "fax_number": "212-274-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND FONG MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-274-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "150422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Eye Center Optical Dispensary",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.