Active NPI
Ma-Li Wong, MD
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1689868341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME98288
- Practice address
- 1611 NW 12TH Ave
Box 016690 M851
Miami, FL 33136-1005 - Phone
- (305) 355-9105
- Fax
- (305) 243-8470
- NPI assigned
- Sep 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME98288 | FL | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Box 016690 M851
Miami, FL 33136-1005
Mailing address
1611 NW 12TH Ave
Box 016690 M851
Miami, FL 33136-1005
Phone (305) 355-9105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME98288 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1689868341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "BOX 016690 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-355-9105",
"fax_number": "305-243-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "BOX 016690 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-355-9105",
"fax_number": "305-243-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MA-LI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME98288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.