GINA MARIE FONG MD
NPI 1346583689
Pediatrics - Neonatal-Perinatal Medicine in Wilmington, DE

Q: What is Gina Fong's NPI number?

The NPI number for Gina Fong is 1346583689. It was assigned to this individual provider in the NPPES registry on April 5, 2013. The provider is also known as Gina Marie Mittelstaedt MD.

Q: What is Gina Fong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Gina Fong was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 05, 2013PECOS Enrolled

1600 ROCKLAND RD, WILMINGTON, DE 19803(302) 651-4200(302) 651-4945 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2019, Aug 26, 2017 (2 updates tracked since 2017).

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About Gina Marie Fong Md NPPES

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

GINA MARIE FONG MD (NPI 1346583689) is an individual neonatal-perinatal medicine provider in Wilmington, Delaware, licensed in Delaware (C1-0011860) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1346583689

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameGINA MARIE FONGCredential: MD

Location Address1600 ROCKLAND RDWilmington, DE 19803

Mailing AddressPo Box 191Rockland, DE 19732-0191 · (302) 651-4200 · Fax (302) 651-4945

Phone(302) 651-4200

Fax(302) 651-4945

Sole ProprietorNo

Enumeration DateApril 5, 2013

Last NPPES UpdateOctober 25, 20192 updates tracked since enumeration

✔ NPI 1346583689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in DE · C1-0011860

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1600 ROCKLAND RD, Wilmington, DE 19803

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Other Names 1

Former Name (1)Gina Marie Mittelstaedt Md

Secondary Practice Location 1

Location 14745 Ogletown Stanton Rd # Map1, Suite 217Newark, DE 19713-2067 · Phone (302) 733-2168 · Fax (302) 733-2602

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Marie Fong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

JOANNA COSTA MD

Pediatrics (Neonatal-Perinatal Medicine)