KEMOY FONG
NPI 1457096828
Nurse Practitioner - Acute Care in South Orange, NJ
About Kemoy Fong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEMOY FONG (NPI 1457096828) is an individual acute care provider in South Orange, New Jersey, licensed in New Jersey (26NJ14897500) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Bayshore Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Kemoy 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kemoy Fong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maplewood, NJ 07040
- Reassigned Medicare billing, New Jersey enrollment
- 10 clinicians in this Medicare group
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 351 clinicians in this Medicare group
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.
Bayshore Medical Center
Acute Care Hospitals · Holmdel, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07079 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH ORANGE, NJ 07079
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 Kemoy Fong's NPI number?
The NPI number for Kemoy Fong is 1457096828. It was assigned to this individual provider in the NPPES registry on April 30, 2022.
Where is Kemoy Fong located?
Kemoy Fong practices at 707 S Orange Ave, South Orange, NJ 07079. The listed phone number is (973) 761-6111.
What is Kemoy Fong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kemoy Fong enrolled in Medicare?
Yes. Kemoy 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 organizations bill Medicare for Kemoy Fong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kemoy Fong reassigns Medicare benefits to 2 organizations: Avedamed LLC (Maplewood, NJ) and Hospitalist Physicians Of New Jersey PA (Edison, NJ). Each 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 Kemoy Fong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kemoy Fong affiliated with any hospitals?
According to CMS data, Kemoy Fong is affiliated with Bayshore Medical Center.
When was this NPI record last updated?
The NPPES record for Kemoy Fong was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kemoy Fong · NPI 1457096828
Acute Care physician in South Orange, New Jersey. Individual provider, active in the CMS NPPES registry since April 30, 2022.
## Identity
- **NPI:** 1457096828 (Entity type: Individual)
- **Enumerated:** April 30, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 26NJ14897500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 707 S ORANGE AVE, South Orange, NJ 07079-2698
- **Phone:** (973) 761-6111 · **Fax:** (973) 761-6111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Avedamed LLC (NPI 1538432786, Maplewood, NJ); Hospitalist Physicians Of New Jersey PA (NPI 1588021851, Edison, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1457096828) · Data from the CMS NPPES public registry.