Active NPI
Roderick Perey Wong
- Registered Nurse
- New York, NY
National Provider Identifier
1952940843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 692401-01
- Practice address
- 600 E 125TH St
New York, NY 10035-6000 - Phone
- (646) 672-6800
- NPI assigned
- Dec 26, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 692401-01 | NY | Primary |
Addresses
Primary practice location
600 E 125TH St
New York, NY 10035-6000
Mailing address
PO Box 543
New York, NY 10163-0543
Phone (646) 506-8881
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692401-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1952940843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 543",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101630543",
"telephone_number": "646-506-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E 125TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100356000",
"telephone_number": "646-672-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "RODERICK",
"middle_name": "PEREY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-26",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "692401-01",
"primary": true
}
],
"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 Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.