Organization Active NPI

She Wong MD PA

  • Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1689041162
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME111626 Issued in FL
Legal business name
SHE WONG MD PA
Practice address
1558 NW 48TH PL
Boca Raton, FL 33431-3339
Phone
(561) 330-4687
NPI assigned
Aug 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Dr. She Ling Wong, MD
Title
Owner
Phone
(561) 330-4687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME111626 FL Primary

Addresses

Primary practice location

1558 NW 48TH PL
Boca Raton, FL 33431-3339

Mailing address

5130 Linton Blvd
E-2
Delray Beach, FL 33484-6596
Phone (561) 330-4687

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1689041162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD",
            "address_2": "E-2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846596",
            "telephone_number": "561-330-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 NW 48TH PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313339",
            "telephone_number": "561-330-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHE WONG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHE",
        "authorized_official_middle_name": "LING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-330-4687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME111626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.