Jenny Wong, MS ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

1379600201 Issued in NY

Practice address

38 Accacia St
Daly City, CA 94014-1503

Phone

(415) 517-4721

NPI assigned

Jan 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Competent Care

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1043664303
  NPD (past)

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1073143566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ACCACIA ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ACCACIA ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141503",
            "telephone_number": "415-517-4721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3769 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112352041",
            "country_code": "US",
            "telephone_number": "718-769-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JENNY",
        "name_prefix": "Ms.",
        "credential": "MS ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1379600201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Wong
• Eunice Yan Wong, RD
• Fuk Sang Wong, DC
• Gladys Wong, M.T.
• Helen Ming Wong, M.D.
• Joe C. Wong, MD
• Judi Wong, DO
• Justina Ann Wong, DC
• Kevin Mingyiu Wong, M.D.
• Kimberly Alexis Wong, PHARMD

• Specialist in Daly City, CA
• Providers in Daly City, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.