Individual provider Active NPI

Sze Ho Wong, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Old Bridge, NJ
National Provider Identifier
1093158743
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
25MA10298700 Issued in NJ
Practice address
28 Throckmorton LN Ste 103
Old Bridge, NJ 08857-2558
Phone
(732) 679-6100
NPI assigned
Apr 11, 2013
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 25MA10298700 NJ Primary

Addresses

Primary practice location

28 Throckmorton LN Ste 103
Old Bridge, NJ 08857-2558

Mailing address

28 Throckmorton LN Ste 103
Old Bridge, NJ 08857-2558

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518000803 NY Practitioner - Ophthalmology 5597032797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13619 41St Ave
FL 4
Flushing, NY 11355-2469
Phone (808) 230-6007

17 E 102ND St 8TH FL
Ophthalmology Department of Mount
New York, NY 10029-5204
Phone 212241811848118

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sze Ho Wong MD PLLC Glaucoma Specialist CurrentSince Dec 5, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2019 Accepting new patients

Locations

13619 41st Ave
Fl 4
Flushing, NY 11355
Phone (718) 939-1200

17 E 102nd St
Fl 8
New York, NY 10029
Phone (212) 241-0939

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

Networks

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

Interoperability endpoints

  • Direct secure messaging: swong@efp1740.srs-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1093158743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 THROCKMORTON LN STE 103",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 THROCKMORTON LN STE 103",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572558",
            "telephone_number": "732-679-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SZE",
        "middle_name": "HO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NJ",
            "license": "25MA10298700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.