Provider Demographics
NPI:1750345237
Name:NG, TOMMY K (MD)
Entity type:Individual
Prefix:DR
First Name:TOMMY
Middle Name:K
Last Name:NG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1364 ROUTE 72 W
Mailing Address - Street 2:SUITE G2
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2485
Mailing Address - Country:US
Mailing Address - Phone:609-978-2337
Mailing Address - Fax:609-597-4557
Practice Address - Street 1:1364 ROUTE 72 W
Practice Address - Street 2:SUITE G2
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2485
Practice Address - Country:US
Practice Address - Phone:609-978-2337
Practice Address - Fax:609-597-4557
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2010-07-19
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05231200207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5038308Medicaid
NJ5038308Medicaid
NJF13174Medicare UPIN