Jimmy Wong M.D., P.L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

249942 Issued in NY

Legal business name

JIMMY WONG M.D., P.L.L.C.

Practice address

33 Bowery
Suite B201
New York, NY 10002-6745

Phone

(212) 431-3111

NPI assigned

Sep 20, 2009

Last updated

Sep 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Wong, M.D.

Title

Physician

Phone

(917) 660-6227

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Man-Chiu Wong, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1821057555
  NPD (past)

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253404800000",
    "number": "1316271604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BOWERY",
            "address_2": "SUITE B201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026745",
            "telephone_number": "212-431-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BOWERY",
            "address_2": "SUITE B201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026745",
            "telephone_number": "212-431-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY WONG M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-660-6227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300000825",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114162898",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03104441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yadira Jimenez
• Yelisa Jimenez
• Tia M Jimmerson
• Jimmy C. Sung, MD, PLLC
• Jimmy Chan MD PLLC
• Jin Acupuncture Therapy PLLC (Jin Acupuncture & Beauty Clinic)
• Jin Care Physical Therapy P.C.
• Jin Qiu MD PC
• Cao Jin
• Chunzi Jenny Jin, MD MSC FRCPC

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; 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.