Wai Chong Wong, M.D.-PH.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

146288 Issued in FL

Practice address

8625 Collier Blvd
Naples, FL 34114-3550

Phone

(239) 732-0044

Fax

(239) 732-0094

NPI assigned

Mar 31, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Vivian Wong Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Wellness Physicians LLCGroup PAC ID 7911125661, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.86 of 100Reported as individual

Quality

54.29

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Skin Wellness Physicians, LLC

  • Dermatology Physician
  • Naples, FL
  • NPI 1275952244
  Medicare reassignment Care Compare group NPD
• Skin Wellness Physicians, LLC

  • Dermatopathology Physician
  • Naples, FL
  • NPI 1619832409
  NPD

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1730507435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143550",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143550",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Goodlette-Frank Rd N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025243",
            "country_code": "US",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "531 Bald Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Marco Island",
            "state": "FL",
            "postal_code": "341452700",
            "country_code": "US",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "WAI CHONG",
        "name_prefix": "Dr.",
        "credential": "M.D.-PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "146288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273799",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "WONG",
            "prefix": "DR.",
            "credential": "M.D.-PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Women'S Healthcare Physicians
• Womens Healthcare Physicians PA
• Diana Wong Lam, PT
• Evan J Wong, SRNA
• Philip Wong, MD
• Holly Wood
• Jason Woodard
• Woodnev
• Steven Frederick Woodring, DO
• Woodruff Institute LLC

• Dermatology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.