Individual provider Active NPI

Bo Feng, MD

  • Anatomic Pathology Physician
  • Livingston, NJ
National Provider Identifier
1669672994
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
25MA08519600 Issued in NJ
Practice address
94 Old Short Hills Road
Livingston, NJ 07039
Phone
(973) 322-2772
Fax
(973) 322-8917
NPI assigned
Jul 24, 2007
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X MT182775 PA
Anatomic Pathology Physician 207ZP0101X 25MA08519600 NJ Primary

Addresses

Primary practice location

94 Old Short Hills Road
Livingston, NJ 07039

Mailing address

94 Old Short Hills Road
Livingston, NJ 07039
Phone (973) 322-2772

Other identifiers 2

IdentifierTypeStateIssuer
205633588OtherNJBCBS
0204919MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090629000171 NJ Practitioner - Pathology 1153472303 Reassigns benefits to 4 organizations
I20150126001634 PA Practitioner - Pathology 1153472303 Reassigns benefits to 1 organization
I20160318001124 NY Practitioner - Pathology 1153472303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Pathology Consultants, PAGroup PAC ID 9638144983, 10 clinicians
Hunterdon Gastroenterology Associates, PAGroup PAC ID 1153395280, 11 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-3000

1100 Wescott Dr
Flemington, NJ 08822-4600
Phone 90878864481101

825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3235
Phone (610) 527-3800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT182775PAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology Consultants PA CurrentSince Oct 25, 2010 Accepting new patients
Hunterdon Gastroenterology Associates, PA CurrentSince Jun 20, 2025 Accepting new patients
Gastroenterology Consultants of South Jersey PC CurrentSince May 1, 2018 Accepting new patients
Long Island Medical P.C. CurrentSince Jan 1, 2016 Accepting new patients
Digestive Health and Nutrition Center, LLC CurrentSince Sep 16, 2015 Accepting new patients
Bryn Mawr Medical Specialists Association CurrentSince Apr 23, 2022 Accepting new patients
Gold Coast Medical P C CurrentSince May 1, 2016 Accepting new patients

Locations

1919 S Highland Ave
Ste 210A
Lombard, IL 60148

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060

465 Cranbury Rd
Ste 102
East Brunswick, NJ 08816
Phone (732) 336-9878

1100 Wescott Dr
Ste 206
Flemington, NJ 08822
Phone (201) 534-6116

693 Main St
Ste A
Lumberton, NJ 08048
Phone (609) 261-8200

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

35 Spencer St
Ste 200
Brooklyn, NY 11205

237 Jericho Tpke
Syosset, NY 11791
Phone (516) 584-6400

825 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 527-0800

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1669672994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS ROAD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-322-2772",
            "fax_number": "973-322-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS ROAD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-322-2772",
            "fax_number": "973-322-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENG",
        "first_name": "BO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "PA",
            "license": "MT182775",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NJ",
            "license": "25MA08519600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "205633588",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204919",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.