Individual provider Active NPI

Kwok Y Wong, MD

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1477710341
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
241120 Issued in NY
Practice address
652 58TH St
Brooklyn, NY 11220-3907
Phone
(917) 969-7274
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 241120 NY Primary

Addresses

Primary practice location

652 58TH St
Brooklyn, NY 11220-3907

Mailing address

652 58TH St
Brooklyn, NY 11220-3907
Phone (917) 969-7274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20080624000426 NY Practitioner - Anesthesiology 4789755448 Reassigns benefits to 5 organizations
I20140627001781 NJ Practitioner - Anesthesiology 4789755448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Cardiovascular Anesthesiologists, P.C.Group PAC ID 5799676623, 135 clinicians
New York Pain Consultants LLCGroup PAC ID 0749260107, 19 clinicians
Meadowbrook Medical AssociatesGroup PAC ID 3274699657, 14 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 627-0334

500 W Main St
Suite 116
Babylon, NY 11702-3032
Phone (631) 422-6166

749 61St St
Suite 402
Brooklyn, NY 11220-5163
Phone (718) 362-6388

865 Merrick Ave
Suite 150N
Westbury, NY 11590-6902
Phone (516) 542-3636

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowbrook Medical Associates Anesthesiology CurrentSince Aug 17, 2011 Accepting new patients
New York Pain Consultants LLC CurrentSince Sep 1, 2021 Accepting new patients
West Side Gi, LLC CurrentSince Jun 7, 2020 Accepting new patients
Kwok Y Wong MD PLLC Anesthesiology CurrentSince Oct 15, 2021 Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
New York Pain Consultants LLC CurrentSince Sep 1, 2021 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Apr 1, 2014 Accepting new patients
Professional Anesthesiologists of Greater New York PC Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

100 W Main St
Ste C
Babylon, NY 11702
Phone (631) 206-1034

500 W Main St
Ste 116
Babylon, NY 11702

749 61st St
Ste 402
Brooklyn, NY 11220
Phone (718) 362-6388

3808 Union St
Ste 13A
Flushing, NY 11354
Phone (718) 362-6298

550 Mamaroneck Ave
Ste 503
Harrison, NY 10528
Phone (914) 346-5200

619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

865 Merrick Ave
Ste 150N
Westbury, NY 11590
Phone (516) 542-3636

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1477710341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203907",
            "telephone_number": "917-969-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203907",
            "telephone_number": "917-969-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KWOK",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "241120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.