Jiyun Wong, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00664600 Issued in NJ

Practice address

44 Sylvan Ave Ste 1B
Englewood Cliffs, NJ 07632-2417

Phone

(201) 591-1982

NPI assigned

Jun 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sylvan Family Eyecare, LLCGroup PAC ID 5496906554, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sylvan Family Eyecare, LLC

  • Optometrist
  • Englewood Cliffs, NJ
  • NPI 1972857787
  Medicare reassignment Care Compare group NPD
• NJ Eye and Ear LLC

  • Ophthalmology Physician
  • Englewood, NJ
  • NPI 1356860811
  Medicare reassignment NPD
• Clifton Eye Care LLC

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1699838672
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1033559745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SYLVAN AVE STE 1B",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322417",
            "telephone_number": "646-247-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SYLVAN AVE STE 1B",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322417",
            "telephone_number": "201-591-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JIYUN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008018-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00664600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• We Are US Staffing
• Wellness Physical Therapy, P.C.
• Lashai Williams
• Women Physicians OBGYN Associates
• Carson Katsun Wong, O.D.
• Woori Home Care LLC
• Hee Kon Yang, MD
• Jinyoung Yang, L.AC
• Rosemary Yim, BCBA
• You G Ding

• Optometrist in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.