Antonio H Wong, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME62898 Issued in FL

Practice address

501 NW 179TH Ave
Pembroke Pines, FL 33029-2807

Phone

(954) 442-2828

Fax

(954) 442-3366

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Miami, LM Miller School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hernando Pasco Primary Care LLCGroup PAC ID 0547231474, 88 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
• FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD

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.

• Hernando Pasco Primary Care LLC

  • Internal Medicine Physician
  • Lutz, FL
  • NPI 1245273093

  Family Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1164460937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW 179TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292807",
            "telephone_number": "954-442-2828",
            "fax_number": "954-442-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW 179TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292807",
            "telephone_number": "954-442-2828",
            "fax_number": "954-442-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANTONIO",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME62898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373222300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Wolcott, BCBA
• James Michael Wolk, D.C.
• Womens Care Gynecology Fertility and Menopause LLC
• Wonder Life Enterprises Inc
• Aaron Wong
• Jessica Wong
• Summer Chung-Lin Wong, DO
• Vincent Wong, MD
• Karen Marie Wood, LMHC
• Willa D Wood

• Family Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.

Verify at the official NPI Registry.