Active NPI
Wong Lap Koon, M.D.
- Internal Medicine Physician
- Flushing, NY
National Provider Identifier
1144256405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 154888
- Practice address
- 13347 Sanford Ave
No. 2a
Flushing, NY 11355-5800 - Phone
- (718) 539-8000
- Fax
- (718) 539-1242
- NPI assigned
- Jun 25, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 154888 | NY | Primary |
Addresses
Primary practice location
13347 Sanford Ave
No. 2a
Flushing, NY 11355-5800
Mailing address
13347 Sanford Ave
No. 2a
Flushing, NY 11355-5800
Phone (718) 539-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00794005 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100831000685 | NY | Practitioner - Internal Medicine | 1153445945 | Practice locations: Flushing, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
133 -47 Sanford Ave
Flushing, NY 11355-5816
13347 Sanford Ave
2A
Flushing, NY 11355-5816
Phone (718) 539-8000
Hospital & facility affiliations
- Americare Certified Special Services, Inc Chha
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154888 | NY | MD | Internal Medicine Physician |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1144256405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13347 SANFORD AVE",
"address_2": "NO. 2A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555800",
"telephone_number": "718-539-8000",
"fax_number": "718-539-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13347 SANFORD AVE",
"address_2": "NO. 2A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555800",
"telephone_number": "718-539-8000",
"fax_number": "718-539-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOON",
"first_name": "WONG",
"middle_name": "LAP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "154888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00794005",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.