Active NPI
Raymond Fong MD, PC
- Ophthalmology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 150422
- Legal business name
- RAYMOND FONG MD, PC
- Practice address
- 859 60TH St
Suite CM1B
Brooklyn, NY 11220-4352 - Phone
- (718) 436-8850
- Fax
- (718) 436-8857
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Fong, M.D.
- Title
- President
- Phone
- (212) 274-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 150422 | NY | Primary |
Addresses
Primary practice location
859 60TH St
Suite CM1B
Brooklyn, NY 11220-4352
Mailing address
13620 38TH Ave
Suite 6H
Flushing, NY 11354-4277
Phone (718) 762-3790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01949366 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Raymond Fong MD PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- New York, NY
- NPI 1083619274
-
- Ophthalmology Physician
- New York, NY
- NPI 1184837437
-
- Ophthalmology Physician
- Flushing, NY
- NPI 1619196516
Locations
13620 38th Ave
Ste 6H
Flushing, NY 11354
Phone (718) 762-3790
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- New York, NY
- NPI 1730181868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335916800000",
"number": "1962621862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13620 38TH AVE",
"address_2": "SUITE 6H",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544277",
"telephone_number": "718-762-3790",
"fax_number": "718-762-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 60TH ST",
"address_2": "SUITE CM1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112204352",
"telephone_number": "718-436-8850",
"fax_number": "718-436-8857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND FONG MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2012-05-02",
"status": "A",
"authorized_official_last_name": "FONG",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-274-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "150422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01949366",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.