Organization Active NPI

S M Wong MD LLC

  • Obstetrics & Gynecology Physician
  • Clark, NJ
National Provider Identifier
1508934837
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA06926800 Issued in NJ
Legal business name
S M WONG MD LLC
Practice address
8 Brant Ave
Clark, NJ 07066-1513
Phone
(732) 388-3338
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
So Mui Wong, M.D.
Title
Owner
Phone
(732) 388-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25MA06926800 NJ Primary

Addresses

Primary practice location

8 Brant Ave
Clark, NJ 07066-1513

Mailing address

8 Brant Ave
Clark, NJ 07066-1513
Phone (732) 388-3338

National Provider Directory

National Provider Directory

Locations

8 Brant Ave
Clark, NJ 07066
Phone (732) 388-3338

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1508934837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BRANT AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661513",
            "telephone_number": "732-388-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BRANT AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661513",
            "telephone_number": "732-388-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S M WONG MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SO MUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-388-3338",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA06926800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.