Active NPI
Gerald Fung, MD
- Student in an Organized Health Care Education/Training Program
- Stamford, CT
National Provider Identifier
1891950382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1351 Washington Boulevard, 4TH Floor
Stamford Hospital Family Medicine Residency Program
Stamford, CT 06902 - Phone
- (203) 276-1000
- Fax
- (203) 276-2413
- NPI assigned
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1351 Washington Boulevard, 4TH Floor
Stamford Hospital Family Medicine Residency Program
Stamford, CT 06902
Mailing address
1351 Washington Boulevard, 4TH Floor
Stamford Hospital Family Medicine Residency Program
Stamford, CT 06902
Phone (203) 276-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Health Medical Group Inc | Past | Accepting new patients | |
| Stamford Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABCIBA
Organizations & group practices 2
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.
-
- General Practice Physician
- Stamford, CT
- NPI 1154633980
-
- Federally Qualified Health Center (FQHC)
- Stamford, CT
- NPI 1295054419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1891950382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 WASHINGTON BOULEVARD, 4TH FLOOR",
"address_2": "STAMFORD HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM",
"city": "STAMFORD",
"state": "CT",
"postal_code": "06902",
"telephone_number": "203-276-1000",
"fax_number": "203-276-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 WASHINGTON BOULEVARD, 4TH FLOOR",
"address_2": "STAMFORD HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM",
"city": "STAMFORD",
"state": "CT",
"postal_code": "06902",
"telephone_number": "203-276-1000",
"fax_number": "203-276-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "GERALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.