Matthew W Fung, PT, DPT, OCS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305212170 Issued in VA

Practice address

20 State Route 10 W
Succasunna, NJ 07876-1724

Phone

(201) 549-5191

Fax

(551) 361-9176

NPI assigned

Aug 27, 2018

Last updated

Jan 24, 2024By 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

Medicare fee-for-service enrollment

Enrolled in VA, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endgame Physical TherapyGroup PAC ID 5799128773, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Endgame Physical Therapy

  • Orthopedic Physical Therapist
  • Succasunna, NJ
  • NPI 1407637390
  Medicare reassignment Care Compare group NPD Authorized official
• Natty Bandasak Physio Performance

  dba Myokinetix

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1770072142
  Medicare reassignment NPD
• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1457389595
  Medicare reassignment NPD
• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Roanoke, VA
  • NPI 1437664356
  NPD
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Hampton, VA
  • NPI 1740215250
  NPD

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1689155798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 STATE ROUTE 10 W",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761724",
            "telephone_number": "201-549-5191",
            "fax_number": "551-361-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "PT, DPT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina R Fiore
• Frank and Sussman, Inc.
• Frank and Sussman, Inc.
• Frank and Sussman, LLC
• Gregg Alan Frank, OTRL
• Thomas Anthony Giangrasso, M.D.
• Richard Giemza, D.M.D.
• Scott Mario Gioioso, DPM
• Erato Giokas, DPM
• Jerome Gliksberg, DDS

• Physical Therapist in Succasunna, NJ
• Providers in Succasunna, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.