DR. JASON H WONG MD NPI 1821052242

NPI Information

  • NPI: 1821052242
  • Provider Name: DR. JASON H WONG, MD
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 221 CRESCENT ST
    WALTHAM, MA
    ZIP 02453
  • Phone: (866) 849-0692

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NPI Details

DR. Jason H Wong, MD is an adult medicine family medicine in Waltham, MA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Jason H Wong, MD NPI is 1821052242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

221 CRESCENT ST
WALTHAM, MA
ZIP 02453-475
Phone: (866) 849-0692
Fax: (888) 973-8821

The NPI 1821052242 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 4/13/2006 and was last updated on 11/27/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine63516TENNESSEENo
2207QA0505XFamily MedicineAdult Medicine86632SOUTH CAROLINANo
3207QA0505XFamily MedicineAdult Medicine2021-02364NORTH CAROLINANo
4207QA0505XFamily MedicineAdult MedicineDR.0066357COLORADONo
5207QA0505XFamily MedicineAdult MedicineTPME5081FLORIDANo
6207QA0505XFamily MedicineAdult Medicine63645ARIZONANo
7207QA0505XFamily MedicineAdult MedicineU1456TEXASNo
8207QA0505XFamily MedicineAdult MedicineMD0041655WASHINGTONYes
9207QA0505XFamily MedicineAdult Medicine35C.000339OHIONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18361347MEDICAIDWASHINGTON

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: 3/30/2025

NPI Synchronization or Removal

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