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JENNIFER FONG
NPI 1205331634
Anesthesiology in New York, NY

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
622 W 168TH ST PH 5-133, NEW YORK, NY 10032(212) 305-3226 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Fong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER FONG (NPI 1205331634) is an individual anesthesiology provider in New York, New York, licensed in New York (305045) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205331634
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameJENNIFER FONG
Location Address622 W 168TH ST PH 5-133New York, NY 10032-3720
Mailing Address6921 173rd StFresh Meadows, NY 11365-3432 · (917) 547-7051
Phone(212) 305-3226
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1205331634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 305045
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
622 W 168TH ST PH 5-133, New York, NY 10032
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Fong is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668710211
PECOS Enrollment IDI20220721002705
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Fong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Anesthesiology, PC
25 mi
Anesthesiology
480 BEDFORD RD BLDG B
Chappaqua, NY 10514
  • Reassigned Medicare billing, New York enrollment
  • 1,406 clinicians in this Medicare group
NPI 1417401266 (914) 666-8866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER QI MD
Anesthesiology
622 W 168TH ST PH 5-133
NEW YORK, NY 10032
New York County (212) 305-3226
DR. ANDREW ROBERT KNAPP MD
Anesthesiology
622 W 168TH ST PH 5-133
NEW YORK, NY 10032
New York County (212) 305-3226
JIN CHEN
Student in an Organized Health Care Education/Training Program
622 W 168TH ST PH 5-133
NEW YORK, NY 10032
New York County (212) 305-3226
DR. CAROLYN P. THAI DO
Anesthesiology
622 W 168TH ST PH 5-133
NEW YORK, NY 10032
New York County (212) 305-5232
ISABELLE KAO
Anesthesiology
622 W 168TH ST PH 5-133
NEW YORK, NY 10032
New York County (212) 305-3226
DR. STEPHEN JOHN LORENZEN MD
Anesthesiology
622 W 168TH ST PH 5-133
NEW YORK, NY 10032
New York County (212) 305-3226
LAURA LOMBARDI-KARL
Pain Medicine (Interventional Pain Medicine)
622 W 168TH ST PH 5-133
NEW YORK, NY 10032
New York County (212) 305-3226
VIKAS CHAUHAN MD
Anesthesiology
622 W 168TH ST PH 5-133
NEW YORK, NY 10032
New York County (212) 305-5232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Fong's NPI number?

The NPI number for Jennifer Fong is 1205331634. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Jennifer Fong located?

Jennifer Fong practices at 622 W 168th St Ph 5-133, New York, NY 10032. The listed phone number is (212) 305-3226.

What is Jennifer Fong's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jennifer Fong enrolled in Medicare?

Yes. Jennifer Fong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Fong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Fong reassigns Medicare benefits to North Shore - Lij Anesthesiology, PC (Chappaqua, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Fong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Fong affiliated with any hospitals?

According to CMS data, Jennifer Fong is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Fong was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.