Active NPI
Kenneth Ting-Hung Wong, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Johnson City, NY
National Provider Identifier
1366479453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 162966-1
- Practice address
- 30 Harrison St Ste 250
Johnson City, NY 13790-2176 - Phone
- (607) 770-8600
- Fax
- (607) 770-0853
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 162966-1 | NY | Primary |
Addresses
Primary practice location
30 Harrison St Ste 250
Johnson City, NY 13790-2176
Mailing address
33 Lewis Rd
2ND Floor
Binghamton, NY 13905
Phone (607) 729-8156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01268639 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.59 of 100
- Quality
- 78.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162966-1 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Associates, P.C. | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| United Medical Associates PC | Current | Accepting new patients |
Locations
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
30 Harrison St
Ste 250
Johnson City, NY 13790
Phone (607) 763-6580
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Durable Medical Equipment & Medical Supplies
- Binghamton, NY
- NPI 1629252556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1366479453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD",
"address_2": "2ND FLOOR",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-729-8156",
"fax_number": "607-729-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HARRISON ST STE 250",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902176",
"telephone_number": "607-770-8600",
"fax_number": "607-770-0853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "KENNETH",
"middle_name": "TING-HUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NY",
"license": "162966-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01268639",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.