Fanny Wong, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00772800 Issued in NJ

Practice address

253 S Washington Ave Ste 1a
Bergenfield, NJ 07621-3739

Phone

(201) 338-4053

NPI assigned

Jul 10, 2020

Sex

Female

Sole proprietor

No

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 NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Bergenfield Physical Therapy & Rehab Center LLC

  • Physical Therapy Clinic/Center
  • Bergenfield, NJ
  • NPI 1366093973

  Chiropractor

  Medicare reassignment NPD
• Clifton Physical Therapy & Rehab Center LLC

  • Physical Therapy Clinic/Center
  • Clifton, NJ
  • NPI 1225605363

  Chiropractor

  Medicare reassignment NPD
• Emerson Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Emerson, NJ
  • NPI 1659837607
  Medicare reassignment NPD
• Maywood Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Maywood, NJ
  • NPI 1568840080

  Chiropractor

  Medicare reassignment NPD
• Paramus Physical Therapy and Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Paramus, NJ
  • NPI 1124740238

  Chiropractor

  Medicare reassignment NPD
• Town Chiropractor Paramus LLC

  • Chiropractor
  • Paramus, NJ
  • NPI 1710814884
  NPD (past)

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1275151839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MADISON AVE APT 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 S WASHINGTON AVE STE 1A",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213739",
            "telephone_number": "201-338-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "FANNY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00772800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla R Wiggins
• Wigs by Lillian Lee
• Richard H Williams, D.D.S.
• Tehilla Willig, NP
• Wonder Kids Therapy Center
• Asher Yablok, CM
• Melissa Yanurian
• Kohan Kevin Yee, DDS
• Sherry Yee, DDS
• Yoon Orthodontics LLC

• Chiropractor in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.