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

Active since April 30, 2022PECOS EnrolledAccepts Medicare Assignment
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: October 04, 2026.

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

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

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
Medical School CMSOtherGraduated 2021
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3274066196
PECOS Enrollment IDI20241031000839
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.

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, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

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 10

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
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
DR. ANUPAMA ADLAKHA M.D.
Internal Medicine
707 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-6111

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.

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 23 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.