MEDICARE: JASMINE FONG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	036264	NY

General Provider Information

NPI Number	:	1861347502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE FONG

Provider Business Mailing Address
First Line	:	10524 67TH AVE
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2162
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8015 LEFFERTS BLVD STE 2F
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-1738
Country	:	US
Telephone Number	:	718-880-2468
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

Similar Medicare Providers

1356737068 — DR. NATHALIA ANDREA FONSECA SLPD CCCSLP, TSSLDBE
Practice Location Address:

8015 LEFFERTS BLVD # 2F
KEW GARDENS, NY
11415-1738

Practice Phone: 917-774-3847
Practice Fax: 347-778-0726

1679149595 — NATHALIA FONSECA SLP P.C.
Practice Location Address:

8015 LEFFERTS BLVD # 1F
KEW GARDENS, NY
11415-1738

Practice Phone: 347-449-9465
Practice Fax: 347-778-0726

1164269577 — STEPHANIE NAYING LIU
Practice Location Address:

8015 LEFFERTS BLVD # 2F
JAMAICA, NY
11415-1738

Practice Phone: 347-525-5010
Practice Fax:

1184477929 — ARIEL LEYVA
Practice Location Address:

19720 NW 51ST AVE
MIAMI GARDENS, FL
33055-1738

Practice Phone: 786-366-3744
Practice Fax:

1508711763 — MS. KIMBERLY TODD
Practice Location Address:

12510 QUEENS BLVD APT 2509
KEW GARDENS, NY
11415-1513

Practice Phone: 516-426-9105
Practice Fax:

1477556462 — DR. HOWARD JAY KIRSCHNER DDS
Practice Location Address:

12510 QUEENS BLVD , SUITE 1707
KEW GARDENS, NY
11415-1532

Practice Phone: 718-263-9797
Practice Fax: 718-263-3925

Directions to “ JASMINE FONG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.