Martha Shih Wong MD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

113881 Issued in NY

Legal business name

MARTHA SHIH WONG MD

Practice address

860 Grand Concourse
Suite 1C
Bronx, NY 10451-2814

Phone

(718) 665-7384

Fax

(718) 665-5335

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Martha Shih Wong, M.D.NPI 1053497156

Title

Owner

Phone

(917) 969-2783

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martha Shih Wong, M.D.

  • Pediatrics Physician
  • Bronx, NY
  • NPI 1053497156
  NPD (past) Authorized official
• Jude Kwame Arthur, MD

  • Pediatrics Physician
  • Bronx, NY
  • NPI 1912096884
  NPD (past)

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1639581093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BREWSTER RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105832003",
            "telephone_number": "917-969-2783",
            "fax_number": "718-665-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 GRAND CONCOURSE",
            "address_2": "SUITE 1C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512814",
            "telephone_number": "718-665-7384",
            "fax_number": "718-665-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA SHIH WONG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "SHIH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-969-2783",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "113881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00208131",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "113881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanissa Elodia Marte, MS, RDN, CDN
• Thania Martell, M.S. SPEC. EDUC.
• Hilda A Martey, R.N
• Juliet Martey, DNP, FNP-BC
• Martha Dominguez Licensed Mental Health Counselor Behavioral Health
• Martin C. International Inc.
• Martin Luther King Addictive Disease Services
• Martin Sabesan
• Ebony Martin-Anderson, MS ED.
• Sonia Martin-Campbell, MSW

• Legal Medicine in Bronx, NY
• Providers in Bronx, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.