Individual provider Active NPI

Suey Lyn Wong Urena, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1205329372
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA11051800 Issued in NJ
Practice address
28 Sherman Ave
New York, NY 10040
Phone
(332) 249-2050
Fax
(332) 249-2051
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA11051800 NJ Primary

Addresses

Primary practice location

28 Sherman Ave
New York, NY 10040

Mailing address

28 Sherman Ave
New York, NY 10040-1602
Phone (332) 249-2050

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220518000928 NJ Practitioner - Family Practice 5193102838 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Jan 7, 2022 Accepting new patients
Serenity Medical Health PLLC Current Accepting new patients
St. Joseph'S Healthcare, Inc. CurrentSince Jan 7, 2022 Accepting new patients

Locations

1135 Broad St
Ste 201
Clifton, NJ 07013
Phone (973) 754-4100

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

225 Minnisink Rd
Ste 103
Totowa, NJ 07512
Phone (862) 657-3066

220 Hamburg Tpke
Ste 4
Wayne, NJ 07470
Phone (973) 389-6022

220 Hamburg Tpke
Ste 3
Wayne, NJ 07470
Phone (973) 389-6090

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

220 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 790-8090

28 Sherman Ave
New York, NY 10040
Phone (332) 249-2050

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCEHDD/Endpoint/FCEHDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1205329372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SHERMAN AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401602",
            "telephone_number": "332-249-2050",
            "fax_number": "332-249-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SHERMAN AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10040",
            "telephone_number": "332-249-2050",
            "fax_number": "332-249-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG URENA",
        "first_name": "SUEY",
        "middle_name": "LYN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11051800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.