Individual provider Active NPI

Angelica Oi-Ling Wong, PT, DPT

  • Physical Therapist
  • Bayonne, NJ
National Provider Identifier
1598376121
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01941900 Issued in NJ
Practice address
519 Broadway
Bayonne, NJ 07002-3713
Phone
(201) 354-1684
Fax
(201) 354-2535
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01941900 NJ Primary

Addresses

Primary practice location

519 Broadway
Bayonne, NJ 07002-3713

Mailing address

43 Aspen Dr
Livingston, NJ 07039-1430
Phone (201) 736-0537

Other practice location 1

1039 Avenue C
Bayonne, NJ 07002-3217
Phone (201) 437-0313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902000443 NJ Practitioner - Physical Therapist in Private Practice 3971920109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miracle Homecare Physical Therapy LLCGroup PAC ID 9931570066, 2 clinicians

Practice addresses (Care Compare)

414 Eagle Rock Ave
Suite 107
West Orange, NJ 07052-4229
Phone (917) 603-7930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01941900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle Homecare Physical Therapy LLC Physical Therapist CurrentSince May 8, 2025 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients

Locations

519 Broadway
Bayonne, NJ 07002
Phone (201) 354-1684

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

255 Monmouth Rd
Ste 4
Oakhurst, NJ 07755
Phone (732) 660-1560

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

414 Eagle Rock Ave
Ste 107
West Orange, NJ 07052
Phone (917) 603-7930

Organizations & group practices 2

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1598376121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 ASPEN DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391430",
            "telephone_number": "201-736-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023713",
            "telephone_number": "201-354-1684",
            "fax_number": "201-354-2535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1039 Avenue C",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070023217",
            "country_code": "US",
            "telephone_number": "201-437-0313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANGELICA",
        "middle_name": "OI-LING",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01941900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.