Active NPI
Andrew Wai-Ho Wong, NP
- Acute Care Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 431382
- Practice address
- 100 E 77TH St
New York, NY 10075-1850 - Phone
- (917) 428-3662
- NPI assigned
- May 23, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 431382 | NY | Primary |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10075-1850
Mailing address
3913 50TH St Apt 2
Woodside, NY 11377-3146
Phone (917) 428-3662
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2140
Hospital & facility affiliations
- Lenox Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 431382 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim Medical of New York PLLC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
255 Executive Dr
Ste 210B
Plainview, NY 11803
Phone (516) 687-9563
300 Community Dr
Plandome, NY 11030
10 Maple St
Prt Washingtn, NY 11050
Phone (917) 746-5942
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- awong60883@northwell.direct-ci.com
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Primary Care Clinic/Center
- Plainview, NY
- NPI 1770230039
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1144711425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3913 50TH ST APT 2",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773146",
"telephone_number": "917-428-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "917-428-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ANDREW",
"middle_name": "WAI-HO",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-23",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "431382",
"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 Oct 10, 2018; 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.