Individual provider Active NPI

Marcial Johnny Wong

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1326670621
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13027 Issued in FL
Practice address
801 S University Dr Unit 823-B
Plantation, FL 33324-3336
Phone
(954) 593-5798
NPI assigned
Feb 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13027 FL Primary

Addresses

Primary practice location

801 S University Dr Unit 823-B
Plantation, FL 33324-3336

Mailing address

1065 Twin Branch LN
Weston, FL 33326-2828
Phone (954) 593-5798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305000797 FL Practitioner - Chiropractic 6406283332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chirocare of Florida, IncGroup PAC ID 2062647910, 11 clinicians

Practice addresses (Care Compare)

701 Northlake Blvd
Suite 101
North Palm Beach, FL 33408-5215
Phone (561) 845-7292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chirocare of Florida, Inc. Chiropractor CurrentSince Dec 15, 2019 Accepting new patients
Advanced Injury Management LLC Chiropractor PastSince Feb 23, 2020 Accepting new patients

Locations

1800 W Woolbright Rd
Ste 101
Boynton Beach, FL 33426
Phone (561) 572-3542

6269 W Sample Rd
Coral Springs, FL 33067
Phone (954) 510-2225

4470 Weston Rd
Davie, FL 33331
Phone (954) 384-3275

2390 NE 186th St
Miami, FL 33180
Phone (305) 760-8400

701 Northlake Blvd
Ste 101
North Palm Beach, FL 33408
Phone (561) 845-7292

801 S University Dr
Ste J101
Plantation, FL 33324
Phone (954) 300-4942

1301 E Atlantic Blvd
Ste 2
Pompano Beach, FL 33060
Phone (954) 532-6909

1600 S Federal Hwy
Ste 811
Pompano Beach, FL 33062

1600 S Federal Hwy
Ste 451
Pompano Beach, FL 33062

Organizations & group practices 2

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1326670621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 TWIN BRANCH LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262828",
            "telephone_number": "954-593-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S UNIVERSITY DR UNIT 823-B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243336",
            "telephone_number": "954-593-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MARCIAL",
        "middle_name": "JOHNNY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.