Organization Active NPI

Peter Wong MD

  • Cardiovascular Disease Physician
  • Jersey City, NJ
National Provider Identifier
1780863720
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA48180 Issued in NJ
Legal business name
PETER WONG MD
Practice address
601 Pavonia Ave
Suite 301
Jersey City, NJ 07306-2922
Phone
(201) 446-4404
Fax
(973) 228-2928
NPI assigned
Oct 26, 2007
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Ms. Emilie Wong
Title
Office Manager
Phone
(201) 446-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA48180 NJ Primary

Addresses

Primary practice location

601 Pavonia Ave
Suite 301
Jersey City, NJ 07306-2922

Mailing address

601 Pavonia Ave
Suite 301
Jersey City, NJ 07306-2922
Phone (201) 446-4404

Other identifiers 1

IdentifierTypeStateIssuer
CI8963OtherNJRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1780863720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PAVONIA AVE",
            "address_2": "SUITE 301",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062922",
            "telephone_number": "201-446-4404",
            "fax_number": "973-228-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PAVONIA AVE",
            "address_2": "SUITE 301",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062922",
            "telephone_number": "201-446-4404",
            "fax_number": "973-228-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER WONG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-446-4404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA48180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI8963",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.