Active NPI
Cecelia Hsun Wong, MD
- Internal Medicine Physician
- Tamarac, FL
National Provider Identifier
1962503748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 126689
- Practice address
- 5870 Hiatus Rd
Suite 200
Tamarac, FL 33321-6424 - Phone
- (954) 377-3172
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35084623 | OH | |
| Internal Medicine Physician | 207R00000X | ME 126689 | FL | Primary |
Addresses
Primary practice location
5870 Hiatus Rd
Suite 200
Tamarac, FL 33321-6424
Mailing address
5870 Hiatus Rd
Suite 200
Tamarac, FL 33321-6424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01665322 | Medicaid | FL | |
| 2528107 | Medicaid | OH |
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 |
|---|---|---|---|
| ME 126689 | FL | MD | Internal Medicine Physician |
| 35084623 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Lancaster, OH
- NPI 1467433763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1962503748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5870 HIATUS RD",
"address_2": "SUITE 200",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333216424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5870 HIATUS RD",
"address_2": "SUITE 200",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333216424",
"telephone_number": "954-377-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "CECELIA",
"middle_name": "HSUN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35084623",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 126689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01665322",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2528107",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.