Active NPI
Andrew Albert Wong
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1104411644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025446
- Practice address
- 2579 Ocean Ave FL 3
Brooklyn, NY 11229-4552 - Phone
- (646) 780-0926
- NPI assigned
- Mar 6, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025446 | NY | Primary |
Addresses
Primary practice location
2579 Ocean Ave FL 3
Brooklyn, NY 11229-4552
Mailing address
5412 253Rd St
Little Neck, NY 11362-1805
Phone (718) 423-3925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6633 Yellowstone Blvd
Apt 3G
Forest Hills, NY 11375-2503
Phone (631) 275-8288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Physical and Occupational Therapy Services, PLLC | Occupational Therapist | Current | Accepting new patients |
| Forward Function Occupational Therapy and Physical Therapy P.L.L.C. | Occupational Therapist | Current | Accepting new patients |
Locations
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
Organizations & group practices 2
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.
-
- Occupational Therapist
- Forest Hills, NY
- NPI 1730651837
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614988800000",
"number": "1104411644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5412 253RD ST",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113621805",
"telephone_number": "718-423-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2579 OCEAN AVE FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294552",
"telephone_number": "646-780-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ANDREW",
"middle_name": "ALBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-06",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025446",
"primary": true
}
],
"identifiers": [],
"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 Mar 6, 2021; 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.