Individual provider Active NPI

Meredith J. Wong, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1073773040
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
249589 Issued in NY
Practice address
5 W 86TH St Apt 6a
New York, NY 10024-3663
Phone
(646) 715-4642
Fax
(646) 607-9495
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 249589 NY Primary

Addresses

Primary practice location

5 W 86TH St Apt 6a
New York, NY 10024-3663

Mailing address

5 W 86TH St Apt 6a
New York, NY 10024-3663
Phone (646) 715-4642

Other practice location 1

365 West End Ave
Suite 1B
New York, NY 10024-6511
Phone (646) 715-4642

Other practice location 2

33 W 60th St Fl 2
New York, NY 10023-7905
Phone (646) 715-4642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1073773040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W 86TH ST APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243663",
            "telephone_number": "646-715-4642",
            "fax_number": "646-607-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W 86TH ST APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243663",
            "telephone_number": "646-715-4642",
            "fax_number": "646-607-9495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 West End Ave",
            "address_2": "Suite 1B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100246511",
            "country_code": "US",
            "telephone_number": "646-715-4642",
            "fax_number": "646-607-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 W 60th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100237905",
            "country_code": "US",
            "telephone_number": "646-715-4642",
            "fax_number": "646-607-9495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "MEREDITH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "249589",
            "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 Mar 7, 2022; 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.