NPIMap

Individual provider Active NPI

Leslie P Wong, MD

  • Nephrology Physician
  • Rochester, NY
National Provider Identifier
1487641957
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
328842 Issued in NY
Practice address
370 E Ridge Rd Ste 20
Rochester, NY 14621-1239
Phone
(585) 922-0400
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD00043067 WA
Nephrology Physician 207RN0300X C54492 CA
Nephrology Physician 207RN0300X 12745135-1205 UT
Nephrology Physician 207RN0300X 328842 NY Primary

Addresses

Primary practice location

370 E Ridge Rd Ste 20
Rochester, NY 14621-1239

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

5169 S Cottonwood St Ste 320
Murray, UT 84107-6768
Phone (801) 507-2531

Other identifiers 2

IdentifierTypeStateIssuer
186164OtherWAL I
8392490MedicaidWA

Other names 1

  • Leslie Pak Yin Wong Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwong397453@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220611000005 UT Practitioner - NephrologyPractitioner - Internal Medicine 1951382225 Reassigns benefits to 1 organization
I20241006000116 NY Practitioner - Internal Medicine 1951382225 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1561 Long Pond Rd
Suite 206
Rochester, NY 14626-4135
Phone (585) 368-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C54492CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jul 22, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jun 26, 2022 Accepting new patients
Rochester General Hospital CurrentSince Jul 22, 2024 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jul 22, 2024 Accepting new patients
Rochester General Hospital Current Accepting new patients
Western New York Medical Practice P.C CurrentSince Jul 22, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Jun 26, 2022 Accepting new patients
The Unity Hospital of Rochester PastSince Apr 19, 2026 Accepting new patients
Rochester General Hospital PastSince Apr 19, 2026 Accepting new patients

Locations

370 E Ridge Rd
Ste 20
Rochester, NY 14621
Phone (585) 922-0400

1561 Long Pond Rd
Ste 206
Rochester, NY 14626
Phone (585) 368-4000

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1561 Long Pond Rd
Rochester, NY 14626
Phone (585) 368-4800

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5169 S Cottonwood St
Ste 320
Salt Lake City, UT 84107
Phone (801) 507-2531

Interoperability endpoints

  • Direct secure messaging: lwong243510@direct.ccf.org

Organizations & group practices 12

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.

Hospital & facility affiliations 7

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1487641957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E RIDGE RD STE 20",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211239",
            "telephone_number": "585-922-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5169 S Cottonwood St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841076768",
            "country_code": "US",
            "telephone_number": "801-507-2531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "LESLIE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00043067",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C54492",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "12745135-1205",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "328842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L I",
            "identifier": "186164",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8392490",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwong397453@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "370 E Ridge Rd Ste 20",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146211239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "WONG",
            "middle_name": "PAK YIN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.