Regina Fong (NPI# 1285017236, PAC ID# 9133491806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285017236 |
| PAC ID by PECOS | 9133491806 |
| Professional Enrollment ID | I20170816001671 |
| Full Name | Regina Fong |
| Organization Legal Name | ISLAND PSYCHIATRY PC |
| Address |
55 Nesconset Hwy Suite 1 Port Jefferson Station NY 11776-2631 |
| Phone Number | 6314748099 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9032490610 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 | 6314748099 | ISLAND PSYCHIATRY PC |
| Organization Legal Name | ISLAND PSYCHIATRY PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathy Junior | Clinical Social Worker | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Nicolas Cerniglia | Nurse Practitioner | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Jennifer Donnelly-greenberg Phd | Psychologist, Clinical | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Dawn J Kahler | Nurse Practitioner | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Jonah B Samuelowitz | Clinical Social Worker | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Randall Solomon | Psychiatry | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Kimberly Buncke | Nurse Practitioner | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Tara Navarra | Clinical Social Worker | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Street Address |
55 NESCONSET HWY SUITE 1 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip | 11776-2631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathy Junior | Clinical Social Worker | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Nicolas Cerniglia | Nurse Practitioner | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Jennifer Donnelly-greenberg Phd | Psychologist, Clinical | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Dawn J Kahler | Nurse Practitioner | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Patricia Walsh Perez | Certified Clinical Nurse Specialist (cns) | 55 Nesconset Hwy, Suite 3, Port Jefferson Station, NY 11776 | |
| Jonah B Samuelowitz | Clinical Social Worker | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Randall Solomon | Psychiatry | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Kimberly Buncke | Nurse Practitioner | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Tara Navarra | Clinical Social Worker | Island Psychiatry PC | 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776-2631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varghese P Cherian | Diagnostic Radiology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Todd Hoffman | Physical Therapy | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Rocco F Caruso | Hematology/oncology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Alfredo Enrique Torres | Hematology/oncology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Diane Clausen | Hospice/palliative Care | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Lauren Mcgarty | Registered Dietitian Or Nutrition Professional | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Jared M Dunkin | Diagnostic Radiology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Lynnann S Obray-donohue | Qualified Audiologist | 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776 | |
| Antoun Saba Mitromaras | General Practice | 509 Patchogue Rd, Port Jefferson Station, NY 11776-1006 | |
| Lisa K Berg Anderson | Qualified Speech Language Pathologist | Epic Long Island | 200 Wilson St, Port Jefferson Station, NY 11776-1100 |
| Find all physicians in zip 11776 | |||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORT JEFFERSON STATION + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Regina Fong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.