Active NPI
Kerry Marie Wong Fike, MD
- MOHS-Micrographic Surgery Physician
- Needham Heights, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 113221
- Practice address
- 464 Hillside Ave Ste 303
Needham Heights, MA 02494-1228 - Phone
- (781) 449-3588
- Fax
- (781) 449-5474
- NPI assigned
- Oct 3, 2005
- Last updated
- Aug 10, 2026
- 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 |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 113221 | FL | Primary |
Addresses
Primary practice location
464 Hillside Ave Ste 303
Needham Heights, MA 02494-1228
Mailing address
15747 105TH Dr N
Jupiter, FL 33478-6813
Phone (315) 296-5801
Other names 1
- Kerry Marie Wong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Harvard Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Laurel Ave
Wellesley, MA 02481-7536
Phone (781) 235-8155
464 Hillside Ave
Suite 303
Needham, MA 02494-1228
Phone (781) 449-3588
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 78 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113221 | FL | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology & Skin Care Assoc PC | Dermatology | Current | Accepting new patients |
| New England Ear Nose and Throat LLC | Dermatology | Current | Accepting new patients |
| Jay L. Cohen, MD, PC | Dermatology | Current | Accepting new patients |
| Dermatology and Skin Care Associates LLC | Past | Accepting new patients | |
| Adams Street Dermatology Assoc, PC | Dermatology | Past | Accepting new patients |
Locations
464 Hillside Ave
Ste 303
Needham Heights, MA 02494
Phone (781) 449-3588
2000 Washington St
Ste 544
Newton Lower Falls, MA 02462
Phone (617) 910-0368
10 Laurel Ave
Ste 300
Wellesley Hills, MA 02481
Phone (781) 235-8155
Interoperability endpoints
- fike.kerry.jcmd@direct.partners.masshiway.net
Organizations & group practices 5
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.
-
- Dermatology Physician
- Wellesley, MA
- NPI 1003005331
-
- Dermatology Physician
- Needham, MA
- NPI 1952527921
-
- Otolaryngology/Facial Plastic Surgery Physician
- Newton, MA
- NPI 1013279108
Dermatology
-
- Dermatology Physician
- Quincy, MA
- NPI 1164693289
-
- Specialist
- Wellesley, MA
- NPI 1043563786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1942297163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15747 105TH DR N",
"city": "JUPITER",
"state": "FL",
"postal_code": "334786813",
"telephone_number": "315-296-5801",
"fax_number": "561-461-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 HILLSIDE AVE STE 303",
"city": "NEEDHAM HEIGHTS",
"state": "MA",
"postal_code": "024941228",
"telephone_number": "781-449-3588",
"fax_number": "781-449-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIKE",
"first_name": "KERRY",
"middle_name": "MARIE WONG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "113221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "WONG",
"middle_name": "MARIE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Needham Heights, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.