Individual provider Active NPI

Anni Wong, MD

  • Otolaryngology Physician
  • Princeton, NJ
National Provider Identifier
1396276911
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA11495600 Issued in NJ
Practice address
256 Bunn Dr Ste a
Princeton, NJ 08540-2859
Phone
(609) 430-9200
NPI assigned
Mar 24, 2017
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Otolaryngology Physician 207Y00000X 25MA11495600 NJ Primary

Addresses

Primary practice location

256 Bunn Dr Ste a
Princeton, NJ 08540-2859

Mailing address

145 Bramble Dr
Morganville, NJ 07751-4074
Phone (732) 533-9306

Other practice location 1

310 E 14th St
North Building-6th Floor
New York, NY 10003-4201
Phone (732) 533-9306

Other practice location 2

570 Egg Harbor Rd Ste B2
Sewell, NJ 08080-2359
Phone (856) 270-6145

Other practice location 3

350 Forsgate Dr Ste 103
Monroe, NJ 08831-5155
Phone (609) 831-0779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220805002422 PA Practitioner - Otolaryngology 9234475203 Reassigns benefits to 2 organizations
I20230824000063 NJ Practitioner - Otolaryngology 9234475203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

1608 Walnut St 9TH FLR
Becker ENT Allergy Walnut St
Philadelphia, PA 19103-5451
Phone (215) 929-8301

256 Bunn Dr
Suite a
Princeton, NJ 08540-2859
Phone (609) 430-9200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jul 1, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Otolaryngology CurrentSince Jul 1, 2022 Accepting new patients

Locations

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

256 Bunn Dr
Ste A
Princeton, NJ 08540
Phone (609) 430-9200

601 Ewing St
Princeton, NJ 08540
Phone (609) 759-8500

570 Egg Harbor Rd
Ste B2
Sewell, NJ 08080
Phone (856) 256-0051

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1608 Walnut St
Fl 9
Philadelphia, PA 19103
Phone (215) 929-8301

1840 South St
Philadelphia, PA 19146
Phone (215) 233-6266

3400 Civic Center Blvd
Fl 3
Philadelphia, PA 19104
Phone (215) 614-4100

3737 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 662-2775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1396276911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BRAMBLE DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514074",
            "telephone_number": "732-533-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BUNN DR STE A",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402859",
            "telephone_number": "609-430-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E 14th St",
            "address_2": "North Building-6th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100034201",
            "country_code": "US",
            "telephone_number": "732-533-9306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Egg Harbor Rd Ste B2",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802359",
            "country_code": "US",
            "telephone_number": "856-270-6145",
            "fax_number": "856-589-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Forsgate Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NJ",
            "postal_code": "088315155",
            "country_code": "US",
            "telephone_number": "609-831-0779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANNI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA11495600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.