Individual provider Active NPI

Cecillia Ying Ying Wong, M.D.

  • Cardiovascular Disease Physician
  • North Chelmsford, MA
National Provider Identifier
1225560485
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
284155 Issued in MA
Practice address
14 Research PL Ste 3
North Chelmsford, MA 01863-2460
Phone
(978) 571-5154
Fax
(978) 250-8189
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 284155 MA Primary

Addresses

Primary practice location

14 Research PL Ste 3
North Chelmsford, MA 01863-2460

Mailing address

14 Research PL Ste 3
North Chelmsford, MA 01863-2460
Phone (978) 571-5154

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302000589 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2264706282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Merrimack Valley Cardiology Associates, LLCGroup PAC ID 4082886569, 22 clinicians

Practice addresses (Care Compare)

14 Research PL
Suite 3
North Chelmsford, MA 01863-2460
Phone (978) 256-6607

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Merrimack Valley Cardiology Associates, LLC Cardiovascular Disease CurrentSince Sep 11, 2023 Accepting new patients
Merrimack Valley Cardiology Cardiovascular Disease Current Accepting new patients

Locations

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607

14 Research Pl
Ste 3
North Chelmsford, MA 01863
Phone (978) 256-6607

Interoperability endpoints

  • Direct secure messaging: cwong95629@tuftsmedicine.direct-ci.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1225560485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL STE 3",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632460",
            "telephone_number": "978-571-5154",
            "fax_number": "978-250-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL STE 3",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632460",
            "telephone_number": "978-571-5154",
            "fax_number": "978-250-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CECILLIA",
        "middle_name": "YING YING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "284155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.