Active NPI
Nelson Wong, MD
- Emergency Medicine Physician
- New York, NY
National Provider Identifier
1922237064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 262380
- Practice address
- 217 E 96TH St Apt 24M
New York, NY 10128-4121 - Phone
- (917) 679-2546
- NPI assigned
- Jul 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 262380 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 254070 | MA |
Addresses
Primary practice location
217 E 96TH St Apt 24M
New York, NY 10128-4121
Mailing address
217 E 96TH St Apt 24M
New York, NY 10128-4121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254070 | MA | MD | Emergency Medicine Physician |
| 262380 | NY | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1922237064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 E 96TH ST APT 24M",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E 96TH ST APT 24M",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284121",
"telephone_number": "917-679-2546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "NELSON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-10",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "262380",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "254070",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.