Individual provider Active NPI

Kerry Marie Wong Fike, MD

  • MOHS-Micrographic Surgery Physician
  • Needham Heights, MA
National Provider Identifier
1942297163
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
113221 Issued in FL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060829000193 MA Practitioner - Dermatology 8224032537 Reassigns benefits to 3 organizations
I20151218001545 NC Practitioner - Dermatology 8224032537

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
Dermatology and Skin Care Assoc PCGroup PAC ID 5193807899, 9 clinicians
Jay L. Cohen, MD, PCGroup PAC ID 9133021918, 3 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision78
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
113221FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Care Assoc PC Dermatology CurrentSince Mar 1, 2024 Accepting new patients
New England Ear Nose and Throat LLC Dermatology CurrentSince Dec 1, 2025 Accepting new patients
Jay L. Cohen, MD, PC Dermatology CurrentSince Jan 1, 2018 Accepting new patients
Dermatology and Skin Care Associates LLC PastSince Dec 1, 2016 Accepting new patients
Adams Street Dermatology Assoc, PC Dermatology PastSince Apr 1, 2008 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.