Organization Active NPI

Kwok Y Wong MD PLLC

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1679236517
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
KWOK Y WONG MD PLLC
Doing business as
Kwok Y Wong MD PLLC
Practice address
749 61St St Ste 402
Brooklyn, NY 11220-5163
Phone
(718) 362-6388
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Dr. Kwok Y Wong, MDNPI 1477710341
Title
Owner
Phone
(917) 969-7274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

749 61St St Ste 402
Brooklyn, NY 11220-5163

Mailing address

5644 Netherland Ave Apt 6a
Bronx, NY 10471-0410
Phone (917) 969-7274

Other practice location 1

3808 Union St Ste 13A
Flushing, NY 11354-5674
Phone (718) 362-6298

Other names 1

  • Kwok Y Wong MD PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211104000858 NY Part B Supplier - Clinic/Group Practice 3870981236 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; New York, NY; Flushing, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1679236517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 NETHERLAND AVE APT 6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104710410",
            "telephone_number": "917-969-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 61ST ST STE 402",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205163",
            "telephone_number": "718-362-6388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3808 Union St Ste 13A",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545674",
            "country_code": "US",
            "telephone_number": "718-362-6298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KWOK Y WONG MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KWOK",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-969-7274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kwok Y Wong MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.