Active NPI
Dennis Ka-Cheong Wong, MD
- Physical Medicine & Rehabilitation Physician
- Lake Hiawatha, NJ
National Provider Identifier
1164534673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 190934
- Practice address
- 34 New England Dr
Lake Hiawatha, NJ 07034-2028 - Phone
- (973) 263-0429
- NPI assigned
- Aug 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 190934 | NY | Primary |
| Physical Therapist | 225100000X | 6277 | NY |
Addresses
Primary practice location
34 New England Dr
Lake Hiawatha, NJ 07034-2028
Mailing address
34 New England Dr
Lake Hiawatha, NJ 07034-2028
Phone (973) 263-0429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01450540 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6277 | NY | MD | Clinical Psychologist |
| 190934 | NY | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1164534673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 NEW ENGLAND DR",
"city": "LAKE HIAWATHA",
"state": "NJ",
"postal_code": "070342028",
"telephone_number": "973-263-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 NEW ENGLAND DR",
"city": "LAKE HIAWATHA",
"state": "NJ",
"postal_code": "070342028",
"telephone_number": "973-263-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "DENNIS",
"middle_name": "KA-CHEONG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "190934",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "6277",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01450540",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Hiawatha, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.