Kevin Wong, CNIM

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

4964 Issued in MA

Practice address

100 Merrick Rd
Rockville Centre, NY 11570-4800

Phone

(516) 321-2589

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1366181059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WINTER ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021698726",
            "telephone_number": "178-188-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704800",
            "telephone_number": "516-321-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KEVIN",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "MA",
            "license": "4964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kwong@nspc.com",
            "affiliation": "Y",
            "affiliationName": "Lake Success Neurological Surgery PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Merrick Rd",
            "city": "Rockville Centre",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115704800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Winthrop Community Medical Affiliates, P.C. (Advanced Orthopaedic Specialists)
• Viktoria Wojciechowska
• Stefanie Wolf, AU.D.
• Jacqueline Woll
• Samantha Wondsel
• Peter J Wong, M.D.
• Keith Woythaler, PH.D.
• Perry A Wyner, M.D.
• Arash Daniel Yadegar, M.D.
• Soloman Yagudayev, NP

• Other Specialist/Technologist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Other Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.