Individual provider Active NPI

Cecilia Wong, PHARMD

  • Pharmacist
  • Edison, NJ
National Provider Identifier
1104421700
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03962500 Issued in NJ
Practice address
561 US Highway 1 Unit 101
Edison, NJ 08817-4400
Phone
(908) 858-3672
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03962500 NJ Primary

Addresses

Primary practice location

561 US Highway 1 Unit 101
Edison, NJ 08817-4400

Mailing address

2147 Hamilton Ave
Trenton, NJ 08619-3610

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)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03962500NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ranch Health Edison LLC CurrentSince Feb 4, 2024 Accepting new patients
Ranch Health Edison LLC CurrentSince Mar 24, 2024 Accepting new patients

Locations

561 US Highway 1
Unit 101
Edison, NJ 08817
Phone (908) 858-3672

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.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1104421700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 HAMILTON AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 US HIGHWAY 1 UNIT 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174400",
            "telephone_number": "908-858-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CECILIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03962500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.