Active NPI
Peter J Wong, MD
- Cardiovascular Disease Physician
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA 48180
- Practice address
- 601 Pavonia Avenue
Suite 301
Jersey City, NJ 07306 - Phone
- (201) 421-7799
- NPI assigned
- Nov 15, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MA 48180 | NJ | Primary |
Addresses
Primary practice location
601 Pavonia Avenue
Suite 301
Jersey City, NJ 07306
Mailing address
601 Pavonia Avenue
Suite 301
Jersey City, NJ 07306
Phone (201) 421-7799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060054211 | Other | NJ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1166 Kennedy Blvd
Bayonne, NJ 07002-3112
Phone (201) 217-7999
600 Pavonia Ave
2ND Floor
Jersey City, NJ 07306-2922
Hospital & facility affiliations
- Carepoint Health - Bayonne Medical Center
- Mount Sinai Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 98 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 48180 | NJ | MD | Cardiovascular Disease Physician |
| MA27808 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Healthcare Associates, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Ijkg Opco LLC | Current | Accepting new patients | |
| Bayonne Cardiology Group, PA | Cardiovascular Disease | Past | Accepting new patients |
Locations
29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
1 Journal Square Plz
Ste 2
Jersey City, NJ 07306
Phone (201) 216-3030
Interoperability endpoints
- peter.wong@direct.bayonnemedicalcenter.md
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
Cardiovascular Disease
-
- Skilled Nursing Facility
- Bayonne, NJ
- NPI 1437356755
-
- Cardiovascular Disease Physician
- Bayonne, NJ
- NPI 1568679231
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bayonne, NJ
- NPI 1821101239
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1154493070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 PAVONIA AVENUE",
"address_2": "SUITE 301",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07306",
"telephone_number": "201-421-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 PAVONIA AVENUE",
"address_2": "SUITE 301",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07306",
"telephone_number": "201-421-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "PETER",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MA 48180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060054211",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.