Individual provider Active NPI

Michael S Wong, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Milford, CT
National Provider Identifier
1346226834
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
037255 Issued in CT
Practice address
232 Boston Post Rd
Unit 11
Milford, CT 06460-3158
Phone
(203) 876-2179
Fax
(203) 876-2369
NPI assigned
Dec 16, 2005
Last updated
Sep 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 037255 CT Primary

Addresses

Primary practice location

232 Boston Post Rd
Unit 11
Milford, CT 06460-3158

Mailing address

232 Boston Post Rd
Unit 11
Milford, CT 06460-3158
Phone (203) 876-2179

Other identifiers 3

IdentifierTypeStateIssuer
010037255CT05OtherCTANTHEM BLUE CROSS BLUE SH
7040792748OtherCTCONNECTICARE
P3201029OtherCTOXFORD

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20060104000750 CT Practitioner - Physical Medicine and Rehabilitation 1759304819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Multicare Medical CenterGroup PAC ID 2163498965, 2 clinicians
Back to Health of Branford LLCGroup PAC ID 9739155045, 4 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

232 Boston Post Rd
Milford, CT 06460-3158
Phone (203) 876-2179

400 W Main St
Branford, CT 06405-3416
Phone (203) 483-7778

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health of Branford, LLC CurrentSince Feb 1, 2006 Accepting new patients
Multicare Medical Center Physical Medicine & Rehabilitation CurrentSince Dec 1, 2005 Accepting new patients
Multicare Physicians & Rehabilitation Group P.C. Past Accepting new patients

Locations

400 W Main St
Branford, CT 06405
Phone (203) 483-7778

232 Boston Post Rd
Ste 12
Milford, CT 06460

232 Boston Post Rd
Unit 12
Milford, CT 06460
Phone (203) 876-2179

209 Boston Post Rd
Ste 200
Milford, CT 06460
Phone (203) 783-1603

232 Boston Post Rd
Milford, CT 06460
Phone (203) 876-2179

232 Boston Post Rd
Ste 11
Milford, CT 06460
Phone (203) 876-2179

Interoperability endpoints

  • Direct secure messaging: mwong@ctproviderdirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1346226834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BOSTON POST RD",
            "address_2": "UNIT 11",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603158",
            "telephone_number": "203-876-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BOSTON POST RD",
            "address_2": "UNIT 11",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603158",
            "telephone_number": "203-876-2179",
            "fax_number": "203-876-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "037255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "010037255CT05",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "7040792748",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3201029",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.