JACKY FUNG
NPI 1720805088
Physician Assistant - Medical in Bronx, NY
About Jacky Fung NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKY FUNG (NPI 1720805088) is an individual medical provider in Bronx, New York and active in the NPI registry since September 2024. The provider is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacky Fung is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BRONX, NY 10461
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 Jacky Fung's NPI number?
The NPI number for Jacky Fung is 1720805088. It was assigned to this individual provider in the NPPES registry on September 26, 2024.
Where is Jacky Fung located?
Jacky Fung practices at 1825 Eastchester Rd, Bronx, NY 10461. The listed phone number is (718) 904-2000.
What is Jacky Fung's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jacky Fung enrolled in Medicare?
Yes. Jacky Fung is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacky Fung was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Jacky Fung · NPI 1720805088
Medical physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since September 26, 2024.
## Identity
- **NPI:** 1720805088 (Entity type: Individual)
- **Enumerated:** September 26, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 1825 EASTCHESTER RD, Bronx, NY 10461-2301
- **Phone:** (718) 904-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720805088) · Data from the CMS NPPES public registry.