Gordon W.S. Wong

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAT-16242 Issued in HI

Practice address

1236 Waimanu St Ste a
Honolulu, HI 96814-4305

Phone

(808) 352-6144

NPI assigned

Nov 29, 2019

Last updated

Nov 29, 2019By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1285271064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PIIKOI ST APT 1503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144277",
            "telephone_number": "808-593-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 WAIMANU ST STE A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144305",
            "telephone_number": "808-352-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "GORDON",
        "middle_name": "W.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-16242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Wing CHI Wong, M.D.
• Eugene G C Wong, MD
• Gabriel Ka Wing Wong, M.D.,PH.D.
• Gail K. Wong, NP
• Gary Y Q Wong, DDS
• Grace Kar-Ying Wong, M.D.
• James Michael Wong, M.D.
• Jamie Wong
• Jason Wong
• Jeffrey Jason Wong, M.D.

• Massage Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.