Individual provider Active NPI

Marsha Wong, APN-C

  • Nurse Practitioner
  • Hackettstown, NJ
National Provider Identifier
1265965172
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00722700 Issued in NJ
Practice address
108 Bilby Rd Ste 104
Hackettstown, NJ 07840-4174
Phone
(908) 441-1352
Fax
(908) 813-9581
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00722700 NJ Primary

Addresses

Primary practice location

108 Bilby Rd Ste 104
Hackettstown, NJ 07840-4174

Mailing address

108 Bilby Rd Ste 104
Hackettstown, NJ 07840-4174
Phone (908) 441-1352

Other practice location 1

33 Overlook Rd Ste L06
Summit, NJ 07901-3561
Phone (908) 522-0050

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329000970 NJ Practitioner - Nurse Practitioner 5294075263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

108 Bilby Rd
Suite 305
Hackettstown, NJ 07840-4174
Phone (908) 813-8877

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00722700NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Feb 25, 2019 Accepting new patients
Summit Cardiology, LLC Past Accepting new patients
Summit Internal Medicine LLC PastSince Jul 20, 2000 Accepting new patients

Locations

108 Bilby Rd
Ste 305
Hackettstown, NJ 07840
Phone (908) 813-8877

108 Bilby Rd
Ste 104
Hackettstown, NJ 07840
Phone (908) 441-1352

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

33 Overlook Rd
Ste L06
Summit, NJ 07901
Phone (908) 522-0050

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1265965172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BILBY RD STE 104",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404174",
            "telephone_number": "908-441-1352",
            "fax_number": "908-813-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BILBY RD STE 104",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404174",
            "telephone_number": "908-441-1352",
            "fax_number": "908-813-9581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Overlook Rd Ste L06",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013561",
            "country_code": "US",
            "telephone_number": "908-522-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "MARSHA",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00722700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.