Individual provider Active NPI

Josephine Si Nun Wong, MAOTR/L, CHT

  • Hand Occupational Therapist
  • New York, NY
National Provider Identifier
1164582219
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
007691-1 Issued in NY
Practice address
139 Centre St
Suite 814
New York, NY 10013-4552
Phone
(917) 497-7377
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007691 NY
Occupational Therapist 225X00000X 007691-1 NY
Hand Occupational Therapist 225XH1200X 007691-1 NY Primary

Addresses

Primary practice location

139 Centre St
Suite 814
New York, NY 10013-4552

Mailing address

139 Centre St
Suite 814
New York, NY 10013-4552
Phone (917) 497-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000801 NY Practitioner - Occupational Therapist in Private Practice 9638205503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
New York University Medical College - NLG, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Occupational Therapy, PCGroup PAC ID 0143356014, 4 clinicians

Practice addresses (Care Compare)

13620 38TH Ave
Suite 8a
Flushing, NY 11354-4232
Phone (718) 877-3872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007691-1NYMDOptician
007691NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Occupational Therapy, PC Occupational Therapist CurrentSince Nov 16, 2009 Accepting new patients
Focus Occupational Therapy, PC Hand CurrentSince Jan 1, 2010 Accepting new patients

Locations

13620 38th Ave
Ste 8A
Flushing, NY 11354
Phone (718) 395-8118

139 Centre St
Ste 814
New York, NY 10013
Phone (212) 966-1288

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1164582219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 814",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "917-497-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 814",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "917-497-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JOSEPHINE",
        "middle_name": "SI NUN",
        "name_prefix": "Mrs.",
        "credential": "MAOTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007691",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007691-1",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "007691-1",
            "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 Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.