Individual provider Active NPI

Fumin Tong, M.D.

  • Neurology Physician
  • Ridgewood, NJ
National Provider Identifier
1699091918
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA09651400 Issued in NJ
Practice address
1200 East Ridgewood Avenue
2ND Floor East Wing Suite 208
Ridgewood, NJ 07450
Phone
(201) 444-0868
Fax
(201) 493-0797
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 25MA09651400 NJ Primary

Addresses

Primary practice location

1200 East Ridgewood Avenue
2ND Floor East Wing Suite 208
Ridgewood, NJ 07450

Mailing address

1200 East Ridgewood Avenue
2ND Floor East Wing Suite 208
Ridgewood, NJ 07450
Phone (201) 444-0867

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630001003 NJ Practitioner - Neurology 5294047544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Group of Bergen County PAGroup PAC ID 5698755056, 26 clinicians

Practice addresses (Care Compare)

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Phone (201) 444-0868

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09651400NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Group of Bergen County PA Neurology CurrentSince Jul 8, 2015 Accepting new patients

Locations

1200 E Ridgewood Ave
Ste 208
Ridgewood, NJ 07450
Phone (201) 444-0631

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25202/brand/1/csg/1/fhir/r4
  • Direct secure messaging: fumin.tong.1@25202.direct.athenahealth.com

Organizations & group practices 1

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

Hospital & facility affiliations 3

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1699091918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EAST RIDGEWOOD AVENUE",
            "address_2": "2ND FLOOR EAST WING SUITE 208",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-0867",
            "fax_number": "201-493-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAST RIDGEWOOD AVENUE",
            "address_2": "2ND FLOOR EAST WING SUITE 208",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-0868",
            "fax_number": "201-493-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "FUMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA09651400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.