Individual provider Active NPI

Raymond Fong, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1730181868
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
150422 Issued in NY
Practice address
109 Lafayette St
4TH Floor
New York, NY 10013-4138
Phone
(212) 274-1900
Fax
(212) 274-0738
NPI assigned
Jun 1, 2005
Last updated
May 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 150422 NY Primary

Addresses

Primary practice location

109 Lafayette St
4TH Floor
New York, NY 10013-4138

Mailing address

109 Lafayette St
FL 4
New York, NY 10013-4138
Phone (212) 274-1900

Other identifiers 1

IdentifierTypeStateIssuer
00876848MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040109000145 NY Practitioner - Ophthalmology 0446150320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond Fong MD, PCGroup PAC ID 5496655292, 5 clinicians

Practice addresses (Care Compare)

109 Lafayette St
FL 4
New York, NY 10013-4138
Phone (212) 274-1900

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery738

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150422NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond Fong MD, PC Ophthalmology CurrentSince Dec 1, 1990 Accepting new patients
Raymond Fong M.D., P.C. Ophthalmology Current Accepting new patients
Raymond Fong MD, PC Ophthalmology Past Accepting new patients
Raymond Fong MD, PC Ophthalmology Past Accepting new patients

Locations

13681 Roosevelt Ave
Ste 2
Flushing, NY 11354
Phone (718) 353-4777

13620 38th Ave
Ste 6H
Flushing, NY 11354
Phone (718) 762-3790

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

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1730181868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAFAYETTE ST",
            "address_2": "FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134138",
            "telephone_number": "212-274-1900",
            "fax_number": "212-274-0738"
        },
        {
            "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": "100134138",
            "telephone_number": "212-274-1900",
            "fax_number": "212-274-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "150422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00876848",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.