Individual provider Active NPI

Toa Chris Wong, P.T.

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1053357723
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
002045 Issued in NY
Practice address
6501 Bay Parkway, C Level
Brooklyn, NY 11204-3948
Phone
(718) 238-9392
Fax
(718) 238-9379
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 002045 NY Primary
Physical Therapist 225100000X 015944 NY

Addresses

Primary practice location

6501 Bay Parkway, C Level
Brooklyn, NY 11204-3948

Mailing address

6501 Bay Parkway, C Level
Brooklyn, NY 11204-3948
Phone (718) 238-9392

Other identifiers 1

IdentifierTypeStateIssuer
01950485MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060301000672 NY Practitioner - Physical Therapist in Private Practice 3971519844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TLC Clove Lake Physical Therapy PCGroup PAC ID 6406934389, 3 clinicians

Practice addresses (Care Compare)

1428 Victory Blvd
Staten Island, NY 10301-3908
Phone (718) 698-3055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015944NYMDPhysical Therapist
002045NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Clove Lake Physical Therapy PC Physical Therapist CurrentSince Jan 31, 2008 Accepting new patients
TLC Rehabilitation Physical Therapy PC Physical Therapist CurrentSince Jul 14, 1998 Accepting new patients
Acuphysio Acupuncture & Physical Therapy Physical Therapist Past Accepting new patients

Locations

1428 Victory Blvd
Staten Island, NY 10301
Phone (718) 698-3055

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053357723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 BAY PARKWAY, C LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043948",
            "telephone_number": "718-238-9392",
            "fax_number": "718-238-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 BAY PARKWAY, C LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043948",
            "telephone_number": "718-238-9392",
            "fax_number": "718-238-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "TOA",
        "middle_name": "CHRIS",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002045",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015944",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01950485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.