Individual provider Active NPI

Winston L Wong, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1245362037
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
004956 Issued in NY
Practice address
225 W 35TH St
2ND FL
New York, NY 10001-1904
Phone
(212) 971-0010
Fax
(212) 695-1865
NPI assigned
Mar 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 004956 NY Primary

Addresses

Primary practice location

225 W 35TH St
2ND FL
New York, NY 10001-1904

Mailing address

225 W 35TH St
2ND FL
New York, NY 10001-1904
Phone (212) 971-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IA, MI, CO, IN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20131021000382 NY Practitioner - Podiatry 5597990911 Reassigns benefits to 2 organizations
Practice locations: New York, NY; Ny, NY
I20230317000085 IA Practitioner - Podiatry 5597990911 Reassigns benefits to 1 organization
I20230403001248 MI Practitioner - Podiatry 5597990911 Reassigns benefits to 1 organization
I20230726003634 CO Practitioner - Podiatry 5597990911 Reassigns benefits to 1 organization
I20230808000368 IN Practitioner - Podiatry 5597990911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1000 E Howard St
Creston, IA 50801-2723
Phone (641) 782-5012

1209 Northwood Dr
Anderson, IN 46011-1027
Phone (800) 654-3772

1330 Sidney Ave
Sterling, CO 80751-2241
Phone (970) 522-4888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1445
Removal or shaving of skin growth471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004956NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group of Michigan PC CurrentSince Mar 29, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 1, 2022 Accepting new patients
Preferred Podiatry Group PC CurrentSince Mar 9, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 1, 2022 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

1330 Sidney Ave
Sterling, CO 80751
Phone (970) 522-4888

1000 E Howard St
Creston, IA 50801
Phone (641) 782-5012

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

168 N Clinton St
Fl 3
Chicago, IL 60661
Phone (201) 856-0224

762 N Dan Jones Rd
Avon, IN 46123
Phone (201) 856-0224

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245362037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W 35TH ST",
            "address_2": "2ND FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011904",
            "telephone_number": "212-971-0010",
            "fax_number": "212-695-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 35TH ST",
            "address_2": "2ND FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011904",
            "telephone_number": "212-971-0010",
            "fax_number": "212-695-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "WINSTON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "004956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.