Individual provider Active NPI

Alan C Wong, M.D., M.P.H.

  • Gastroenterology Physician
  • Quincy, MA
National Provider Identifier
1740418466
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
269244 Issued in MA
Practice address
500 Congress St Ste 3a
Quincy, MA 02169-0927
Phone
(617) 471-0033
Fax
(617) 471-5438
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ML60093599 WA
Gastroenterology Physician 207RG0100X 036.129733 IL
Gastroenterology Physician 207RG0100X MD14911 RI
Gastroenterology Physician 207RG0100X 269244 MA Primary

Addresses

Primary practice location

500 Congress St Ste 3a
Quincy, MA 02169-0927

Mailing address

500 Congress St Ste 3a
Quincy, MA 02169-0927
Phone (617) 471-0033

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20170113000256 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 7911219290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

1250 Hancock St
Quincy, MA 02169-4339
Phone (617) 740-0600

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

21 Bristol Dr
South Easton, MA 02375-1199
Phone (774) 302-5700

90 Libbey Industrial Pkwy
Suite 201
Weymouth, MA 02189-3157
Phone (781) 682-0606

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy57
Upper gastrointestinal (GI) endoscopy for acid reflux50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ML60093599WAMDInternal Medicine Physician
036.129733ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Internal Medicine Current Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Feb 15, 2017 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Feb 15, 2017 Accepting new patients
Atrius Health, Inc. Internal Medicine Past Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

90 Libbey Park
Ste 201
Weymouth, MA 02189
Phone (781) 331-1212

Interoperability endpoints

  • Direct secure messaging: awongmd183973@direct.atrius.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1740418466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST STE 3A",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690927",
            "telephone_number": "617-471-0033",
            "fax_number": "617-471-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST STE 3A",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690927",
            "telephone_number": "617-471-0033",
            "fax_number": "617-471-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "ML60093599",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036.129733",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "MD14911",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "269244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.