Cindy Wong, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2320703 Issued in MA

Practice address

88 Holmes St
Quincy, MA 02171-2431

Phone

(617) 318-3200

NPI assigned

Nov 17, 2019

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Cove Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boston, MA
  • NPI 1700801263
  NPD (past)

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1215572904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 HOLMES ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712431",
            "telephone_number": "617-318-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 HOLMES ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712431",
            "telephone_number": "617-318-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CINDY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2320703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wollaston Lutheran Church Apts. Dba Fenno House (Fenno House)
• Womens Wellness Oasis
• Jeanette Michelle Won, LMHC
• Julia Grace Wondrack
• Alan C Wong, M.D., M.P.H.
• Hillary Hiu Wai Wong, RDN, LDN, CLC
• Patricia Wong, DPT
• Ping Ping Wong, LMT
• TSZ Wong
• Ariana Wood, MS, RD, LDN

• Pediatric Nurse Practitioner in Quincy, MA
• Providers in Quincy, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.