Lily Wong, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

217849 Issued in NY

Practice address

268 Canal St
New York, NY 10013-3599

Phone

(212) 966-0228

Fax

(212) 966-9330

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: lwong787833@direct.ochin.org
• Direct secure messaging: drlilywong@ggnycp-ny.direct.office.nextgen.com
• Direct secure messaging: liwong@1120.direct.myezyaccess.com

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.

• Charles B. Wang Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1144203498
  NPD (past)
• Charles B. Wang Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1417261298
  NPD (past)
• St Lukes Roosevelt Hospital Center

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1285600106
  NPD (past)
• Weill Medical College of Cornell

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1013958610
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1740225093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WALKER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134135",
            "telephone_number": "212-226-8866",
            "fax_number": "212-226-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133599",
            "telephone_number": "212-966-0228",
            "fax_number": "212-966-9330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E 60th St Ste 1102",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221776",
            "country_code": "US",
            "telephone_number": "212-510-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "LILY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "217849",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "217849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02364001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Wong
• Lauren Alyssa Wong
• Liang Yi Wong, PHD
• Lillian Wong, M.D.
• Lily Wong, LMT
• Lily Xiaobin Wong, NP
• Lisa Lai Wong, PHARM.D.
• Maicie M Wong, MD
• Man-Chiu Wong, MD
• Margaret Wong, M.D.

• Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.