Active NPI
Shiwei Tong, M.D.
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1407810468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 213711
- Practice address
- 829 57TH St Unit 4
Brooklyn, NY 11220-3677 - Phone
- (718) 438-2988
- Fax
- (718) 438-2588
- NPI assigned
- Apr 14, 2006
- Last updated
- Sep 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 213711 | NY | Primary |
| Pediatrics Physician | 208000000X | 25MA07482500 | NJ |
Addresses
Primary practice location
829 57TH St Unit 4
Brooklyn, NY 11220-3677
Mailing address
PO Box 6516
East Brunswick, NJ 08816-6516
Phone (609) 275-6810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01984523 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07482500 | NJ | MD | Pediatrics Physician |
| 213711 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Shiwei Tong, M.D., LLC | Pediatrics | Past | Accepting new patients |
| Pinnacle Medical Care, PLLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- shiweitong@mai.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1588825038
-
- Pediatrics Physician
- Plainsboro, NJ
- NPI 1376672410
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1407810468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6516",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088166516",
"telephone_number": "609-275-6810",
"fax_number": "609-275-8862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 57TH ST UNIT 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203677",
"telephone_number": "718-438-2988",
"fax_number": "718-438-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "SHIWEI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "213711",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07482500",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01984523",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.