Healthcare Provider Details

I. General information

NPI: 1578942058
Provider Name (Legal Business Name): IRIS YEONG- FUNG SHENG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2015
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 MOUNTAINVIEW BLVD
BASKING RIDGE NJ
07920-3444
US

IV. Provider business mailing address

136 MOUNTAINVIEW BLVD
BASKING RIDGE NJ
07920-3444
US

V. Phone/Fax

Practice location:
  • Phone: 908-466-5980
  • Fax:
Mailing address:
  • Phone: 908-466-5980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA13229500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: