Chak Shui Wong

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

294462 Issued in NY

Practice address

4265 Kissena Blvd
Suite LL4
Flushing, NY 11355-3273

Phone

(718) 353-2300

Fax

(718) 353-2454

NPI assigned

Jun 25, 2015

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: chw9161@direct.nyp.org
• FHIR API: https://fhir4.healow.com/fhir/r4/AIDABA/Endpoint/AIDABA
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Total Care Pediatric, PLLC

  • Pediatrics Physician
  • Flushing, NY
  • NPI 1619508900
  NPD
• Newyork-Presbyterian-Queens

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1952347205
  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1841672961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 KISSENA BLVD",
            "address_2": "SUITE LL4",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553273",
            "telephone_number": "718-353-2300",
            "fax_number": "718-353-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 KISSENA BLVD",
            "address_2": "SUITE LL4",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553273",
            "telephone_number": "718-353-2300",
            "fax_number": "718-353-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CHAK SHUI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "294462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Tak Yan Wong Wu
• Ada Wong
• Andy Wong
• Anthony Wong, RPA-C
• Candance Wong, DO
• Christopher Wong
• Donald Wong, PHARMD
• Edgar S Wong
• Fredrick VA Wong, PA
• Geoffrey Wong, DO

• Pediatrics Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.