NPIMap

Individual provider Active NPI

Patrick Wong

  • Family Medicine Physician
  • Edison, NJ
National Provider Identifier
1508250705
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10413000 Issued in NJ
Practice address
10 Parsonage Rd Ste 410
Edison, NJ 08837
Phone
(732) 795-6130
Fax
(732) 463-5535
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10413000 NJ Primary

Addresses

Primary practice location

10 Parsonage Rd Ste 410
Edison, NJ 08837

Mailing address

10 Parsonage Rd Ste 410
Edison, NJ 08837-2429
Phone (732) 795-6130

Other practice location 1

317 George St
New Brunswick, NJ 08901-2008
Phone (732) 235-6972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101000082 NJ Practitioner - Family Practice 2062765415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

10 Parsonage Rd
Suite 410
Edison, NJ 08837-2475
Phone (732) 795-6130

Hospital & facility affiliations

  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • Bayada Home Health Care, Inc. Home health agency, Cranford, NJ, CCN 317020
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10413000NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Family Medicine CurrentSince May 29, 2021 Accepting new patients

Locations

10 Parsonage Rd
Ste 410
Edison, NJ 08837
Phone (732) 659-9524

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: pwong15112@epicdirect.rwjbh.org

Organizations & group practices 1

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 8

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1508250705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD STE 410",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372429",
            "telephone_number": "732-795-6130",
            "fax_number": "732-463-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD STE 410",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08837",
            "telephone_number": "732-795-6130",
            "fax_number": "732-463-5535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 George St",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089012008",
            "country_code": "US",
            "telephone_number": "732-235-6972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10413000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.