Individual provider Active NPI

Wai Fong Kok

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1356950760
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402775-01 Issued in NY
Practice address
1273 53Rd Street
4TH Floor
Brooklyn, NY 11219
Phone
(718) 435-5700
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402775-01 NY Primary

Addresses

Primary practice location

1273 53Rd Street
4TH Floor
Brooklyn, NY 11219

Mailing address

111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 592-4915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126000946 NY Practitioner - Nurse Practitioner 6709290174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

230 W 17TH St
New York, NY 10011-5325
Phone (212) 206-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F402775-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Oct 1, 2021 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Psychiatric/Mental Health CurrentSince Oct 1, 2021 Accepting new patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health CurrentSince Mar 6, 2024 Accepting new patients
The Institute for Family Health CurrentSince Mar 6, 2024 Accepting new patients

Locations

1273 53rd St
Ste 4
Brooklyn, NY 11219
Phone (718) 435-5700

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

9201 4th Ave
Brooklyn, NY 11209
Phone (718) 748-1234

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

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.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1356950760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-592-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 53RD STREET",
            "address_2": "4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-435-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOK",
        "first_name": "WAI FONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402775-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.