NPIMap

Individual provider Active NPI

Philip Siva Vittozzi Wong, M.D.

  • Emergency Medicine Physician
  • Hastings, PA
National Provider Identifier
1316479488
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD471084 Issued in PA
Practice address
290 Haida Ave
Hastings, PA 16646-5610
Phone
(814) 247-3100
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 305199 NY
Emergency Medicine Physician 207P00000X MD471084 PA Primary

Addresses

Primary practice location

290 Haida Ave
Hastings, PA 16646-5610

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (862) 812-4198

Other practice location 1

30 7th Ave
New York, NY 10011-6629
Phone (646) 665-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201202000601 PA Practitioner - Emergency Medicine 7618204363 Reassigns benefits to 3 organizations
I20250911003059 HI Practitioner - Emergency Medicine 7618204363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1189 Waimanu St
Apt 805
Honolulu, HI 96814-4267

4535 Dressier Rd NW
Canton, OH 44718-2545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Honolulu Pali Momi, LLC Emergency Medicine CurrentSince Jul 11, 2025 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Current Accepting new patients
Emergency Medicine Physicians of Honolulu Kapiolani, LLC Emergency Medicine CurrentSince Jul 11, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 1, 2020 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Current Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: pvittozziwong3493090@nychhc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1316479488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "862-812-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HAIDA AVE",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166465610",
            "telephone_number": "814-247-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 7th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100116629",
            "country_code": "US",
            "telephone_number": "646-665-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITTOZZI WONG",
        "first_name": "PHILIP SIVA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "305199",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD471084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, PA

Sources for this page

Verify at the official NPI Registry.