JENNIFER SONG FONG (NPI# 1912104522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912104522 |
| Entity Type | Individual |
| Full Name | JENNIFER SONG FONG |
| Other Name | JENNIFER SONG LECLERE |
| Credential | NP |
| Practice Address |
3415 Bainbridge Ave Childrens Hospital of Montefiore Bronx NY 10467 |
| Mailing Address |
18 Sunset Dr White Plains NY 10604-2311 |
| Practice Telephone | 7187412100 |
| Mailing Telephone | 9142888058 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
381662 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205331634 | Jennifer Fong | Student in an Organized Health Care Education/Training Program | 622 W 168th St Ph 5-133, New York, NY 10032-3720 | 2018-03-27 |
| 1548782188 | Jennifer Keiko Fong | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2017-07-14 |
| 1699225045 | Jennifer Fong | Occupational Therapist | 3903 Harrison Blvd, 400, Ogden, UT 84403-2314 | 2016-10-10 |
| 1114256955 | Jennifer K Fong | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3551 | 2009-12-07 |
| 1235385493 | Jennifer Melissa Fong | Dentist | 333 Gellert Blvd, Suite #242, Daly City, CA 94015-2621 | 2008-08-07 |
| 1720102106 | Jennifer Alicia Fong | Dentist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2007-03-19 |
| 1922141043 | Jennifer Lee Fong | Chiropractor | 2414 14th St, Sacramento, CA 95818-2209 | 2007-02-15 |
| 1295703023 | Jennifer Lynn Fong | Optometrist | 1689 Arden Way, #1091, Sacramento, CA 95815-4030 | 2006-03-09 |
| Street Address |
3415 BAINBRIDGE AVE CHILDRENS HOSPITAL OF MONTEFIORE |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992783500 | Hiren V. Muzumdar | Pediatrics | 3415 Bainbridge Ave, Pediatric Respiratory and Sleep Medicine, Bronx, NY 10467-2403 | 2006-01-04 |
| 1568076743 | Aleksandr Zavorotynskiy | Pharmacist | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-09-03 |
| 1295347581 | Porsha Paul | Social Worker | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-08-19 |
| 1659995074 | Birender P Singh | Pharmacist | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-06-01 |
| 1144841834 | Andrecia Spaulding | Social Worker | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-05-04 |
| 1700415312 | Pauline Elizabeth Clarke | Nurse Practitioner | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-04-06 |
| 1104485739 | Yuping Xie | Student in an Organized Health Care Education/Training Program | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2019-06-07 |
| 1942868898 | Tara Carolina Foisset | Pediatrics | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2019-06-04 |
| 1164985164 | Joseph Chapman | Student in an Organized Health Care Education/Training Program | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2019-04-08 |
| 1023589918 | Basirat Shoberu | Pharmacist | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145300 | Kaliko Saroj Sharma | Nurse Practitioner | 2805 Heath Ave, Bronx, NY 10463-7805 | 2019-07-15 |
| 1699180596 | Abigail Felix | Nurse Practitioner | 3032 Corlear Ave Fl 1, Bronx, NY 10463-5141 | 2014-06-30 |
| 1609157007 | Evelyn A O'neill-brown | Nurse Practitioner | 3011 Randall Ave, Bronx, NY 10465-2359 | 2011-08-30 |
| 1891000501 | Deepa Manohara | Nurse Practitioner | 705 E 180th St, Bronx, NY 10457-3601 | 2010-08-18 |
| 1245544360 | Richard Joseph Beaulieu | Nurse Practitioner | 1515 Souther Boulevard, Bronx, NY 10460 | 2010-07-30 |
| 1477793511 | Linda Anne Reid | Nurse Practitioner | 369 E 149th Street, 3rd Floor, Bronx, NY 10455 | 2009-03-03 |
| 1861642415 | Olga Mae Manns | Nurse Practitioner | 85 West Burnside Avenue, Bronx, NY 10453-4015 | 2008-09-19 |
| 1407024839 | Dora Alejandra Acevedo | Nurse Practitioner | 275 Balcom Ave, Bronx, NY 10465-3104 | 2008-02-19 |
| 1881721975 | Regina A Whitlow | Nurse Practitioner | 112 East 210th Street, Mmc - School Health Program, Bronx, NY 10467 | 2007-02-27 |
| 1457492027 | Teresa Ann Wilson | Nurse Practitioner | 3961 Hillman Ave, Montefiore School Health Clinic, Bronx, NY 10463-3001 | 2007-02-08 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.