Active NPI
Kit Yue Wong, M.D.
- Psychiatry Physician
- Medway, MA
National Provider Identifier
1811964968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 217301
- Practice address
- 163 Main St Ste 6D
Medway, MA 02053-1533 - Phone
- (617) 599-4746
- Fax
- (617) 848-2620
- NPI assigned
- Mar 7, 2006
- Last updated
- Jul 24, 2024
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 217301 | MA | Primary |
Addresses
Primary practice location
163 Main St Ste 6D
Medway, MA 02053-1533
Mailing address
163 Main St Ste 6D
Medway, MA 02053-1533
Phone (617) 599-4746
Other practice location 1
1968 Central Ave
Needham, MA 02492
Phone (781) 292-2108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110126670A | Medicaid | MA |
Other names 1
- Kit Yue Wong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2014 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walker, Inc. | Past | Accepting new patients | |
| Cambridge Public Health Commission | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Community Health Worker
- Needham, MA
- NPI 1053446567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1811964968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 MAIN ST STE 6D",
"city": "MEDWAY",
"state": "MA",
"postal_code": "020531533",
"telephone_number": "617-599-4746",
"fax_number": "617-848-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 MAIN ST STE 6D",
"city": "MEDWAY",
"state": "MA",
"postal_code": "020531533",
"telephone_number": "617-599-4746",
"fax_number": "617-848-2620"
}
],
"practiceLocations": [
{
"address_1": "1968 Central Ave",
"address_purpose": "LOCATION",
"city": "Needham",
"state": "MA",
"postal_code": "02492",
"country_code": "US",
"telephone_number": "781-292-2108",
"fax_number": "781-455-6837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "KIT YUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "217301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110126670A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIT YUE",
"last_name": "WONG",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Medway, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.