Active NPI
Simone M Wong
- Recreation Therapist
- Brooklyn, NY
National Provider Identifier
1427540822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 28WO1388608
- Practice address
- 596 Argyle Rd Apt 5
Brooklyn, NY 11230-1647 - Phone
- (917) 753-5041
- NPI assigned
- May 31, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 28WO1388608 | NY | Primary |
Addresses
Primary practice location
596 Argyle Rd Apt 5
Brooklyn, NY 11230-1647
Mailing address
596 Argyle Rd Apt 5
Brooklyn, NY 11230-1647
Phone (917) 753-5041
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28WO1388608 | NY | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1427540822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "596 ARGYLE RD APT 5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112301647",
"telephone_number": "917-753-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 ARGYLE RD APT 5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112301647",
"telephone_number": "917-753-5041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SIMONE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NY",
"license": "28WO1388608",
"primary": true
}
],
"identifiers": [],
"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 May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.