Active NPI
Cheng Fong, DDS, MA
- General Practice Dentistry
- East Brunswick, NJ
National Provider Identifier
1992953178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DI021521
- Practice address
- 557 Cranbury Rd
Suite 8
East Brunswick, NJ 08816-5419 - Phone
- (732) 698-0838
- NPI assigned
- Aug 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DI021521 | NJ | Primary |
Addresses
Primary practice location
557 Cranbury Rd
Suite 8
East Brunswick, NJ 08816-5419
Mailing address
557 Cranbury Rd
Suite 8
East Brunswick, NJ 08816-5419
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI021521 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220054400000",
"number": "1992953178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 CRANBURY RD",
"address_2": "SUITE 8",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 CRANBURY RD",
"address_2": "SUITE 8",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165419",
"telephone_number": "732-698-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "CHENG",
"name_prefix": "Dr.",
"credential": "DDS, MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-30",
"last_updated": "2008-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DI021521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.