Individual provider Active NPI

Samantha Wong, O.D.

  • Optometrist
  • Iselin, NJ
National Provider Identifier
1295385193
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00692700 Issued in NJ
Practice address
485 Route 1 South
Building a
Iselin, NJ 08830
Phone
(732) 750-0400
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009027 NY
Optometrist 152W00000X 27OA00692700 NJ Primary

Addresses

Primary practice location

485 Route 1 South
Building a
Iselin, NJ 08830

Mailing address

777 S 3Rd St Apt 2039
Harrison, NJ 07029-2169
Phone (908) 770-6716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201217000850 NY Practitioner - Optometry 1557783008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Medical Ny PLLCGroup PAC ID 0446799050, 4 clinicians

Practice addresses (Care Compare)

48 Graham Ave
Brooklyn, NY 11206-4002
Phone (718) 388-7400

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as group
Quality
76.67
Promoting interoperability
89
Improvement activities
40
Cost
73.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Comprehensive Medical Wellness P.C. CurrentSince Oct 22, 2021 Accepting new patients
Omni Eye Surgery of New York PC CurrentSince Oct 1, 2020 Accepting new patients
Focus Medical Ny, PLLC Optometrist CurrentSince Jul 20, 2024 Accepting new patients

Locations

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

48 Graham Ave
Brooklyn, NY 11206
Phone (718) 388-7400

20 E 46th St
Ph
New York, NY 10017
Phone (212) 353-0030

7501 Paragon Rd
Ste 201
Dayton, OH 45459

Interoperability endpoints

  • Direct secure messaging: wongs@neilpatel.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1295385193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S 3RD ST APT 2039",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070292169",
            "telephone_number": "908-770-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 SOUTH",
            "address_2": "BUILDING A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-750-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009027",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00692700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.