Individual provider Active NPI

Jason Wong, MD, MPH, MBA

  • Gynecology Physician
  • MC Lean, VA
National Provider Identifier
1346212685
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
334120 Issued in NY
Practice address
6900 Fleetwood Rd Unit 315
MC Lean, VA 22101-3690
Phone
(917) 751-0823
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 334120 NY Primary

Addresses

Primary practice location

6900 Fleetwood Rd Unit 315
MC Lean, VA 22101-3690

Mailing address

6900 Fleetwood Rd Unit 315
MC Lean, VA 22101-3690
Phone (917) 751-0983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NM, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220929001088 VA Practitioner - Obstetrics/Gynecology 8224354261 Reassigns benefits to 1 organization
I20230718003038 NM Practitioner - Obstetrics/Gynecology 8224354261 Reassigns benefits to 1 organization
I20260127000020 NY Practitioner - Obstetrics/Gynecology 8224354261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

550 Orchard Park Rd
Suite A100
West Seneca, NY 14224-2646
Phone (716) 862-2542

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
334120NYMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jun 18, 2022 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 16, 2026 Accepting new patients
Womens Health Horizons, Inc CurrentSince Jul 3, 2023 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 16, 2026 Accepting new patients
Trinity Medical Wny PC Obstetrics & Gynecology Past Accepting new patients

Locations

4801 McMahon Blvd NW
Ste 101
Albuquerque, NM 87114
Phone (505) 269-7349

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

94 Olean St
East Aurora, NY 14052
Phone (585) 687-7711

94 Olean St
Ste 120
East Aurora, NY 14052
Phone (716) 458-1954

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Organizations & group practices 5

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 2

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1346212685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 FLEETWOOD RD UNIT 315",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013690",
            "telephone_number": "917-751-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 FLEETWOOD RD UNIT 315",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013690",
            "telephone_number": "917-751-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "334120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.