Samuel T Wong, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

235523 Issued in NY

Practice address

27 Porter Ave
Jamestown, NY 14701-6221

Phone

(716) 483-2020

NPI assigned

Sep 4, 2007

Last updated

Mar 27, 2008By the provider in NPPES

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Harvard Medical School, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raymond Fong MD, PCGroup PAC ID 5496655292, 5 clinicians

Wilson Ko MD Facs PCGroup PAC ID 1456442789, 8 clinicians

Advanced Eye Physician PLLCGroup PAC ID 4981658853, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.51 of 100Reported as group

Quality

97.04

Promoting interoperability

97

Improvement activities

40

Cost

58.03

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_premiumlaseroph
• Direct secure messaging: swong@advancedeyecare.intellechartdirect.net

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.

• Advanced Eye Physician PLLC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1174600316
  Medicare reassignment Care Compare group NPD
• Raymond Fong M.D., P.C.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1083619274
  Medicare reassignment Care Compare group NPD
• Wilson Ko, M.D., F.a.C.S., P.C.

  • Ophthalmologic Surgery Clinic/Center
  • Flushing, NY
  • NPI 1437365665
  Medicare reassignment Care Compare group NPD
• Grand Fashion Optical, Inc

  • Ophthalmology Physician
  • New York, NY
  • NPI 1124269154
  NPD
• Raymond Fong MD, PC

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1619196516
  NPD
• John R. Kearney, MD, Eye Physician & Surgeon, PC

  • Ophthalmology Physician
  • Johnstown, NY
  • NPI 1336197011
  NPD (past)
• Joseph Bacotti MD PC

  • Ophthalmic Technician/Technologist
  • Mineola, NY
  • NPI 1548487523
  NPD (past)
• Mark Fromer, MD PC

  dba Fromer Eye Centers

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1194851774
  NPD (past)
• Premium Laser Ophthalmology LLC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1407995863
  NPD (past)
• Successful Vision Corp

  • Optometrist
  • Pelham, NY
  • NPI 1730617614

  Ophthalmology

  NPD (past)
• Upper West Side Medical P.L.L.C.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1528349933
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1881888642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 RIVERSIDE DR",
            "address_2": "SUITE 8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246135",
            "telephone_number": "646-229-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PORTER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016221",
            "telephone_number": "716-483-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SAMUEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "235523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter John Windoft, OD
• Karen E Winterburn, N.P.
• Elizabeth Witherspoon
• Nicole Frances Wittmeyer, P.T.
• Anna C Wohlgemuth, O.D.
• Ann M. Wood
• Martha B. Wood, RN
• Susan Marie Woollett, LCSW
• Jaylyn Worgan
• Wounded Healers

• Ophthalmology Physician in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.