Active NPI
Eric T Wong, M.D.
- Neurology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD17890
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-5435
- Fax
- (401) 444-8301
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 153765 | MA | |
| Neurology Physician | 2084N0400X | MD17890 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Other practice location 1
795 Middle St
Fall River, MA 02721-1733
Phone (508) 996-3991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3167411 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Rutgers New Jersey Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
593 Eddy St
Apc 138
Providence, RI 02903-4900
Phone (401) 444-5435
Hospital & facility affiliations
- Amedisys Home Health Care
- Hopehealth Hospice & Palliative Care
- Rhode Island Hospital
- The Miriam Hospital
- Newport Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr, Inc | Neurology | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Lifespan Physician Group of Massachusetts Inc | Neurology | Past | Accepting new patients |
Locations
330 Brookline Ave
Fl Eighth
Boston, MA 02215
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
15 La Salle Sq
Providence, RI 02903
593 Eddy St
Providence, RI 02903
593 Eddy St
#138
Providence, RI 02903
Phone (401) 444-5291
Organizations & group practices 8
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.
-
- Hematology & Oncology Physician
- Providence, RI
- NPI 1396849782
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Neurology Physician
- Boston, MA
- NPI 1992745236
-
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
Neurology
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Providence, RI
- NPI 1871674796
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Home Health Agency
- Warwick, RI
- NPI 1770537854
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1437179199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-5435",
"fax_number": "401-444-8301"
}
],
"practiceLocations": [
{
"address_1": "795 Middle St",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027211733",
"country_code": "US",
"telephone_number": "508-996-3991",
"fax_number": "508-999-9442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "ERIC",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "153765",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "RI",
"license": "MD17890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3167411",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.