Active NPI
Karena Wong, O.D.
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007435-1
- Practice address
- 17 Elizabeth St
Room 401
New York, NY 10013-4803 - Phone
- (212) 226-3937
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007435-1 | NY | Primary |
Addresses
Primary practice location
17 Elizabeth St
Room 401
New York, NY 10013-4803
Mailing address
Advantagecare Physicians, PC
55 Water Street 2ND Floor Cred Dept
New York, NY 10041
Phone (646) 680-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007435-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana LLC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| American Health Network of Indiana, LLC | Current | Accepting new patients | |
| American Health Network of Ohio, LLC | Current | Accepting new patients | |
| American Health Network of Ohio, LLC | Current | Accepting new patients | |
| Downtown Ophthalmology PC | Past | Accepting new patients |
Locations
10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928
7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357
4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500
503 Greenwood Trace Dr
Whiteland, IN 46184
Phone (317) 208-3866
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
55 Water St
Fl 2
New York, NY 10041
4337 Broadway
New York, NY 10033
Phone (212) 523-5201
4882 E Main St
Ste 200
Columbus, OH 43213
Phone (614) 237-0835
2500 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 794-4500
680 Buckles Ct N
Ste 100
Gahanna, OH 43230
Phone (614) 986-0125
Interoperability endpoints
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Organizations & group practices 7
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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1831236272
-
- Family Medicine Physician
- Columbus, OH
- NPI 1386675544
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Ophthalmology Physician
- Forest Hills, NY
- NPI 1164693081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1760610786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ADVANTAGECARE PHYSICIANS, PC",
"address_2": "55 WATER STREET 2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10041",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 ELIZABETH ST",
"address_2": "ROOM 401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134803",
"telephone_number": "212-226-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "KARENA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007435-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.