Active NPIIndividual provider

Raymond Fung, MPT

Physical Therapist in Fort Lee, New Jersey

NPI Number1174773626
Practice location
1355 15TH Street, Fort Lee, NJ 07024
Fax
201-224-6381
Last updated
November 9, 2009

Raymond Fung is a Physical Therapist based in Fort Lee, NJ. Raymond Fung practices in Fort Lee, NJ and has the professional credentials of MPT. The NPI Number for Raymond Fung is 1174773626 and holds a License No. 18083 (MA). The current practice location address for Raymond Fung is 1355 15TH Street, Fort Lee, NJ 07024 and can be reached out via phone at 201-224-8717 and via fax at 201-224-6381.

Provider Profile Details

NPI Number
1174773626
Provider Name
Raymond Fung
Credential
MPT
Provider Entity Type
Individual
Gender
Male
Address
1355 15TH Street, Fort Lee, NJ 07024
Phone Number
201-224-8717
Fax Number
201-224-6381
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2008
Last Update Date
November 9, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1355 15TH Street
Fort Lee, NJ 07024
Zip
07024
Phone Number
201-224-8717
Fax Number
201-224-6381
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
605 Main Street
Hackensack, NJ 07601
City
Hackensack
State
NJ
Zip
07601
Phone Number
201-488-0488
Fax Number
201-343-5325

License Information

License Number (1)
18083
License State (1)
MA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA01332900
License State (2)
NJ
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Raymond Fung, MPT?

The NPI number of Raymond Fung, MPT is 1174773626. It was assigned on September 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Raymond Fung, MPT?

Raymond Fung, MPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 18083.

Where does Raymond Fung, MPT practice?

The practice location is 1355 15TH Street, Fort Lee, NJ 07024. The office can be reached at 201-224-8717 (phone) or 201-224-6381 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174773626 directly on the NPPES registry website.

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