Active NPI
Michael Wong, M.D.
- Neuroradiology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- ME158538
- Practice address
- 8900 N Kendall Dr
Miami, FL 33176-2118 - Phone
- (786) 596-5990
- NPI assigned
- Jul 6, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT200435 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 283597 | NY | |
| Neuroradiology Physician | 2085N0700X | ME158538 | FL | Primary |
Addresses
Primary practice location
8900 N Kendall Dr
Miami, FL 33176-2118
Mailing address
247 Driggs Ave Apt 4D
Brooklyn, NY 11222-5404
Phone (310) 562-0649
Other practice location 1
230 N Broad St
Philadelphia, PA 19102-1121
Phone (215) 762-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME158538 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Drexel University College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3225 Francis Lewis Blvd
Flushing, NY 11358-1922
Phone (718) 428-1500
4401 Francis Lewis Blvd
Bayside, NY 11361-3028
Phone (718) 670-1050
Hospital & facility affiliations
- New York-Presbyterian/Queens
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT200435 | PA | MD | Internal Medicine Physician |
| ME158538 | FL | MD | Neuroradiology Physician |
| 283597 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Radiology at Bayside LLC | Diagnostic Radiology | Current | Accepting new patients |
| Vascular Imaging, PC | Current | Accepting new patients | |
| Radiology Associates of Main Street PC | Diagnostic Radiology | Current | Accepting new patients |
| Sunset Park Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Valley Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Empire State Radiology P C | Diagnostic Radiology | Past | Accepting new patients |
Locations
5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588
1509 Rockaway Pkwy
Brooklyn, NY 11236
Phone (631) 498-1394
3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070
7206 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 670-1512
16215 Highland Ave
Ste 1A
Jamaica, NY 11432
Phone (631) 498-1394
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- miw9089@direct.nyp.org
Organizations & group practices 7
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.
-
- Diagnostic Radiology Physician
- Flushing, NY
- NPI 1780771634
-
- Diagnostic Radiology Physician
- Flushing, NY
- NPI 1265529101
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1629713672
-
- Cardiovascular Disease Physician
- Jamaica, NY
- NPI 1174802516
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1972890424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 DRIGGS AVE APT 4D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112225404",
"telephone_number": "310-562-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 N KENDALL DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762118",
"telephone_number": "786-596-5990"
}
],
"practiceLocations": [
{
"address_1": "230 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021121",
"country_code": "US",
"telephone_number": "215-762-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2022-11-14",
"certification_date": "2022-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT200435",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "283597",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "FL",
"license": "ME158538",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
"identifier": "ME158538",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.