Amanda W Pong, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

249659 Issued in NY

Practice address

50 Forest St
Apt 1421
Stamford, CT 06901

Phone

(619) 322-2577

NPI assigned

Jun 5, 2007

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

Medicare fee-for-service enrollment

Enrolled in DC

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

Neurology

Education

University of Pittsburgh School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Atlantic Epilepsy and Sleep Center LLCGroup PAC ID 6608217773, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.48 of 100Reported as group

Promoting interoperability

91

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7347/brand/1/csg/1/fhir/r4
• Direct secure messaging: apong905787@direct.hopkinsmedicine.org

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.

• Mid-Atlantic Epilepsy & Sleep Center LLC

  • Neurology Physician
  • Bethesda, MD
  • NPI 1528824836

  DC

  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Pavel Klein

  • Neurology Physician
  • Bethesda, MD
  • NPI 1740587435
  NPD (past)
• Trustees of Columbia University in the City of New York

  • Neurology Physician
  • New York, NY
  • NPI 1306899455
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1750583399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FOREST ST",
            "address_2": "APT 1421",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06901",
            "telephone_number": "619-322-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOREST ST",
            "address_2": "APT 1421",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06901",
            "telephone_number": "619-322-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONG",
        "first_name": "AMANDA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "249659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latisha Abigail Pollard, MD
• Kelly Pombo, PT
• Erica Pomerantz, PSY.D.
• Krista Pomeroy, BCBA, LBA
• Joannie Pompee, PA-C
• Stephen Poon, DDS, FICOI
• Alka S Popli, M.D.
• Marcela Porpino, M.S., BCBA, LBA
• Edward Portnay, M.D.
• Nora Posner

• Neurology with Special Qualifications in Child Neurology Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.