NPIMap

Individual provider Active NPI

Alberto Yu-Wong, M.D.

  • Internal Medicine Physician
  • Watertown, MA
National Provider Identifier
1952396624
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
150294 Issued in MA
Practice address
63 Pleasant Street
Watertown, MA 02472
Phone
(617) 924-6484
Fax
(781) 893-0634
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 150294 MA Primary

Addresses

Primary practice location

63 Pleasant Street
Watertown, MA 02472

Mailing address

63 Pleasant Street
Watertown, MA 02472
Phone (617) 924-6484

Other identifiers 1

IdentifierTypeStateIssuer
3151123MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090123000265 MA Practitioner - Internal Medicine 7517021389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

63 Pleasant St
Watertown, MA 02472-2386
Phone (617) 924-6484

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Revere Medical of Massachusetts, PC Internal Medicine CurrentSince Dec 10, 2024 Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

63 Pleasant St
Watertown, MA 02472
Phone (617) 213-1335

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • Direct secure messaging: alberto.yu.wong.1@32866.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1952396624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PLEASANT STREET",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "02472",
            "telephone_number": "617-924-6484",
            "fax_number": "781-893-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PLEASANT STREET",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "02472",
            "telephone_number": "617-924-6484",
            "fax_number": "781-893-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU-WONG",
        "first_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "150294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3151123",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

Verify at the official NPI Registry.