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PRESTON L FONG
NPI 1871223271
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 16, 2022PECOS Enrolled
22201 MOROSS RD STE 155, DETROIT, MI 48236(313) 499-4775(313) 499-4953 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2025, May 7, 2023 (2 updates tracked since 2023).

About Preston L Fong NPPES

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

PRESTON L FONG (NPI 1871223271) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871223271
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePRESTON L FONG
Location Address22201 MOROSS RD STE 155Detroit, MI 48236-2152
Mailing Address22201 Moross Rd Ste 155Detroit, MI 48236-2152 · (313) 499-4775 · Fax (313) 499-4953
Phone(313) 499-4775
Fax(313) 499-4953
Sole ProprietorNo
Enumeration DateJune 16, 2022
Last NPPES UpdateAugust 9, 20252 updates tracked since enumeration
NPPES CertifiedAugust 9, 2025
✔ NPI 1871223271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22201 MOROSS RD STE 155, Detroit, MI 48236
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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)

Preston L 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.

Other Providers at the Same Location NPPES 5

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

KEVIN MARZOLF DDS
Dentist
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775
DR. HYUNKYU PARK DMD
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775
JONATTAN EDUARDO ANGULO-OCHOA DDS
Oral & Maxillofacial Surgery
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4929
DR. DAVID LOUIS SZANDZIK D.D.S.
Dentist (Oral and Maxillofacial Surgery)
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775
DR. RICHARD MICHAEL BENIAN D.D.S
Dentist (Oral and Maxillofacial Surgery)
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775

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 Preston Fong's NPI number?

The NPI number for Preston Fong is 1871223271. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Preston Fong located?

Preston Fong practices at 22201 Moross Rd Ste 155, Detroit, MI 48236. The listed phone number is (313) 499-4775.

What is Preston Fong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Preston Fong enrolled in Medicare?

Yes. Preston Fong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Preston Fong was last updated on August 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.