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

Fan Gong

Individual provider Internal Medicine Physician · NPI 1396381166

Fan Gong is a Nurse Practitioner in Abington, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Abington Memorial Hospital, a 435-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1200 Old York Rd Chief Of Staff Ofc
Abington, PA 19001
Phone: (215) 481-2334
Fax: (215) 481-4074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP021209 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence SP021209 (PA)

Record details

NPI number1396381166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2019
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020
Mailing address4 Moccasin Trl, Media, PA 19063-4721

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Abington Memorial Hospital — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Abington