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

Individual provider Anesthesiology Physician · NPI 1053677435

Timothy Tenren Fung, MD is an Anesthesiology in Rochester, New York. Qualified in 2012, 14 years ago. Practices with Newark Wayne Community Hospital, a 133-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3011
Phone: (585) 922-4159
Fax: (585) 922-3731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2 Coulter Rd, Clifton Springs, NY 14432-1122 — (315) 462-1417
  • 1200 Driving Park Ave, Newark, NY 14513-1090 — (315) 332-2170
  • 130 Allens Creek Rd, Rochester, NY 14618 — (585) 410-6545
  • 1555 Long Pond Rd, Rochester, NY 14626-4164 — (585) 723-7000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 273686 (NY)

Record details

NPI number1053677435
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2012
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Newark Wayne Community Hospital — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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