KEMOY FONG
NPI 1457096828
Nurse Practitioner - Acute Care in South Orange, NJ

Q: 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.

Q: What is Kemoy Fong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: 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 21 months 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 30, 2022PECOS Enrolled

707 S ORANGE AVE, SOUTH ORANGE, NJ 07079(973) 761-6111(973) 761-6111 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Apr 30, 2022 (2 updates tracked since 2022).

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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.

NPPES Registry Identity

NPI1457096828

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameKEMOY FONG

Location Address707 S ORANGE AVESouth Orange, NJ 07079-2698

Mailing Address2620 W Lakewood Ln Apt 3bOak Creek, WI 53154-8230 · (407) 616-3976

Phone(973) 761-6111

Fax(973) 761-6111

Sole ProprietorYes

Enumeration DateApril 30, 2022

Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration

NPPES CertifiedOctober 16, 2024

✔ NPI 1457096828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in NJ · 26NJ14897500✔ Licensed in WI · 11742-33

707 S ORANGE AVE, South Orange, NJ 07079

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kemoy Fong 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.

Physician 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.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

ESSEX MEDICAL CARE LLC

Internal Medicine

707 S ORANGE AVE
SOUTH ORANGE, NJ 07079

Essex County (973) 675-9000

JASMINE JOSEPH PA-C

Physician Assistant

707 S ORANGE AVE
SOUTH ORANGE, NJ 07079

Essex County (973) 761-6111

DINESH R PATEL MD

Internal Medicine

707 S ORANGE AVE
SOUTH ORANGE, NJ 07079

Essex County (973) 675-9000

CLINTON MEDICAL ASSOCIATES PA

Internal Medicine

707 S ORANGE AVE
SOUTH ORANGE, NJ 07079

Essex County (973) 761-6111

ALFRED THUNTY SAMURA MD

Internal Medicine (Cardiovascular Disease)

707 S ORANGE AVE
SOUTH ORANGE, NJ 07079

Essex County (932) 761-1140

DR. POOJA MALHOTRA

Internal Medicine (Nephrology)

707 S ORANGE AVE
SOUTH ORANGE, NJ 07079

Essex County (973) 762-4720

SATISH MEHTA M.D., P.A.

Internal Medicine (Pulmonary Disease)

707 S ORANGE AVE
SO ORANGE, NJ 07079

Essex County (973) 762-4746

CHAMPAKLAL K GANDHI M.D.

Internal Medicine (Nephrology)

707 S ORANGE AVE
SOUTH ORANGE, NJ 07079

Essex County (973) 762-4720

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 enrollment system.

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 21 months 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.