Leung-Wing Wong, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-043517 Issued in OH

Practice address

763 56TH St
Brooklyn, NY 11220-3529

Phone

(718) 567-3667

Fax

(718) 567-2332

NPI assigned

Sep 12, 2006

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 2

Other names 1

• Alfred L Wong Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Park Slope Medical Service PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1144236746
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1376647834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203529",
            "telephone_number": "718-567-3667",
            "fax_number": "718-567-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203529",
            "telephone_number": "718-567-3667",
            "fax_number": "718-567-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LEUNG-WING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-043517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0547635",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03112287",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALFRED",
            "last_name": "WONG",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristin Mari Wong
• Krystal Wong
• Kwok Y Wong, MD
• Larry Wong
• Lauren Wong, MD
• Linda Wong
• Linda Wong, PHARM. D
• Lok Kun Wong, PHARMD
• Manson Wong, M.S.P.T.
• Martin Chip Yun Wong, P.T.

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.