Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clarence Kong

Individual provider Emergency Medicine Physician · NPI 1548846140

Clarence Kong is an Emergency Medicine in West Islip, New York. Graduated from City University of New York School of Medicine in 2021, 5 years ago. Practices with Eric Fanaee MD PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Trained at
City University of New York School of Medicine
Licensed in
NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

380 Montauk Hwy
West Islip, NY 11795-4403
Phone: (631) 422-5371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 334926 (NY)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 334926 (NY)

Record details

NPI number1548846140
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address380 Montauk Hwy, West Islip, NY 11795-4403

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesPAIN MANAGEMENT
Medical schoolCITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Eric Fanaee Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in West Islip