Individual provider Active NPI

Gong Feng

  • Anatomic Pathology & Clinical Pathology Physician
  • Allentown, PA
National Provider Identifier
1730535691
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD486177 Issued in PA
Practice address
794 Roble Rd
Allentown, PA 18109-9110
Phone
(610) 402-8140
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD486177 PA Primary

Addresses

Primary practice location

794 Roble Rd
Allentown, PA 18109-9110

Mailing address

794 Roble Rd
Allentown, PA 18109-9110

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
I20210817003490 NY Practitioner - Pathology 6800176108 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD486177PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St James Hospital CurrentSince Sep 1, 2021 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
Health Network Laboratories, LLC PastSince Nov 10, 2024 Accepting new patients

Locations

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

100 Nicolls Rd
Rm 766
Stony Brook, NY 11790
Phone (631) 444-2222

100 Nicolls Rd
Stony Brook, NY 11790
Phone (631) 444-1069

101 Nicolls Rd
Rm 140
Stony Brook, NY 11794
Phone (631) 444-3000

Interoperability endpoints

  • Direct secure messaging: gong.feng@direct.stonybrookmedicine.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1730535691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 ROBLE RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 ROBLE RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099110",
            "telephone_number": "610-402-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENG",
        "first_name": "GONG",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD486177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.