Melvin C. W. Wong M, D, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD 6869 Issued in HI

Legal business name

MELVIN C. W. WONG M, D, INC.

Practice address

98-1247 Kaahumanu St
Suite 318
Aiea, HI 96701-5311

Phone

(808) 487-7960

Fax

(808) 488-6737

NPI assigned

Mar 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Melvin C W Wong, M. DNPI 1447393939

Title

President

Phone

(808) 487-4960

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin C W Wong, MD

  • Vascular Neurology Physician
  • Aiea, HI
  • NPI 1447393939
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1629496591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE 318",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-487-7960",
            "fax_number": "808-488-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE 318",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-487-7960",
            "fax_number": "808-488-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN C. W. WONG M, D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "C W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-487-4960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD 6869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H100940",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Aiea, HI
• Providers in Aiea, HI by specialty
• Specialist in Hawaii

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

Verify at the official NPI Registry.