Active NPI
Peter Wong MD
- Cardiovascular Disease Physician
- Jersey City, NJ
National Provider Identifier
1780863720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA48180
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI8963 | Other | NJ | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Cardiovascular Disease Physician
- Hobbs, NM
- NPI 1639276934
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.