Active NPI
Andrew K Wong, D.P.M.
- Foot & Ankle Surgery Podiatrist
- New York, NY
National Provider Identifier
1043605132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 006917
- Practice address
- 81 Elizabeth St Ste 601
New York, NY 10013-4729 - Phone
- (212) 361-3686
- Fax
- (212) 361-6101
- NPI assigned
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 006917 | NY | Primary |
Addresses
Primary practice location
81 Elizabeth St Ste 601
New York, NY 10013-4729
Mailing address
81 Elizabeth St Ste 601
New York, NY 10013-4729
Phone (212) 361-3686
Other practice location 1
1578 Williamsbridge Rd Apt 3A
Bronx, NY 10461-6268
Phone (917) 815-2244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180618001069 | NY | Practitioner - Podiatry | 4183979065 | Practice locations: Bronx, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1578 Williamsbridge Rd
Apt 3a
Bronx, NY 10461-6268
Phone (917) 815-2244
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 607 |
| Removal or shaving of skin growth | 560 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006917 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Hon DO PLLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- akw9007@direct.nyp.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1821461898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1043605132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 ELIZABETH ST STE 601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134729",
"telephone_number": "212-361-3686",
"fax_number": "212-361-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 ELIZABETH ST STE 601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134729",
"telephone_number": "212-361-3686",
"fax_number": "212-361-6101"
}
],
"practiceLocations": [
{
"address_1": "1578 Williamsbridge Rd Apt 3A",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104616268",
"country_code": "US",
"telephone_number": "917-815-2244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "ANDREW",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "006917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.