NPIMap

Organization Active NPI

Ming T Wong MD PC

  • Family Medicine Physician
  • Allston, MA
National Provider Identifier
1013170406
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MING T WONG MD PC
Practice address
39 Brighton Ave
Allston, MA 02134-2301
Phone
(617) 254-5805
Fax
(617) 254-7118
NPI assigned
Jul 7, 2008
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ming Tat Wong, MDNPI 1750320750
Title
Doctor
Phone
(617) 254-5805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

39 Brighton Ave
Allston, MA 02134-2301

Mailing address

39 Brighton Ave
Allston, MA 02134-2301
Phone (617) 254-5805

National Provider Directory

National Provider Directory

Locations

39 Brighton Ave
Boston, MA 02134
Phone (617) 254-5805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1013170406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BRIGHTON AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342301",
            "telephone_number": "617-254-5805",
            "fax_number": "617-254-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BRIGHTON AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342301",
            "telephone_number": "617-254-5805",
            "fax_number": "617-254-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MING T WONG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MING",
        "authorized_official_middle_name": "TAT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "617-254-5805",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.