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DR. MARIKO K WONG MD NPI 1497984454


NPI Information

NPI: 1497984454
Provider Name: DR. MARIKO K WONG, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Organization: CAMBRIDGE PUBLIC HEALTH COMMISSION

PECOS Registration: Yes

Address:
103 GARLAND ST
EVERETT, MA
ZIP 02149
Phone: (671) 394-7703
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DR. Mariko K Wong, MD is a geriatric medicine internal medicine in Everett, MA with 15 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Mariko K Wong, MD NPI is 1497984454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2009

The provider's business location address is:

103 GARLAND ST
EVERETT, MA
ZIP 02149-066
Phone: (671) 394-7703
Fax: (617) 394-7804

The NPI 1497984454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2009 and was last updated on 10/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineML 60093908WASHINGTONNo
2207RG0300XInternal MedicineGeriatric Medicine269330MASSACHUSETTSYes
3207RG0300XInternal MedicineGeriatric MedicineMD15008RHODE ISLANDNo
4207RG0300XInternal MedicineGeriatric Medicine036.129630ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.