Individual provider Active NPI

Peter J Wong, MD

  • Cardiovascular Disease Physician
  • Jersey City, NJ
National Provider Identifier
1154493070
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA 48180 Issued in NJ
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

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
060054211OtherNJRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000624 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9032143060 Reassigns benefits to 1 organization
Practice locations: Bayonne, NJ; Jersey City, NJ

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 Hospital, Bayonne, NJ, CCN 310025
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA 48180NJMDCardiovascular Disease Physician
MA27808NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC Cardiovascular Disease CurrentSince Apr 10, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.