GEOFFREY WONG (NPI# 1811916745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811916745 |
| Entity Type | Individual |
| Full Name | GEOFFREY WONG |
| Credential | MD |
| Practice Address |
1511 Park Ave Third Floor South Plainfield NJ 07080-5516 |
| Practice Telephone | 9085619500 |
| Practice Fax Number | 9085617162 |
| Mailing Telephone | 9085619500 |
| Mailing Fax Number | 9085617162 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 25MA08099600 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25MA08099600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7731734 | 01 | |
| NJ | OXFORD | P3701421 | 01 |
| NJ | CIGNA | 6485178 | 01 |
| NJ | UNITED HEALTHCARE | 2675738 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619535291 | Geoffrey Wong | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2019-05-30 |
| 1669564597 | Geoffrey P Wong | Obstetrics & Gynecology | 869 Beaver Dr, Du Bois, PA 15801-2511 | 2006-09-28 |
| Street Address |
1511 PARK AVE THIRD FLOOR |
| City | SOUTH PLAINFIELD |
| State | NJ |
| Zip Code | 07080-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818186 | Henry Altszuler | Internal Medicine | 1511 Park Ave, 2nd Floor, South Plainfield, NJ 07080-5516 | 2005-08-17 |
| 1922416452 | Huifang Cheng | Nurse Practitioner | 1511 Park Ave, South Plainfield, NJ 07080-5568 | 2014-07-29 |
| 1396966750 | Ryan P Brown | Internal Medicine | 1511 Park Ave, 3rd Floor, South Plainfield, NJ 07080-5516 | 2007-05-02 |
| 1891710356 | Alec N Simpson | Surgery | 1511 Park Ave, Third Floor, South Plainfield, NJ 07080-5516 | 2006-07-13 |
| 1861435885 | David M Richmand | Surgery | 1511 Park Ave, South Plainfield, NJ 07080-5516 | 2006-06-14 |
| 1073553400 | Gary B Breitbart | Surgery | 1511 Park Ave, South Plainfield, NJ 07080-5516 | 2006-06-07 |
| 1972542868 | Vascular Diagnostics | Surgery | 1511 Park Ave, South Plainfield, NJ 07080-5516 | 2006-06-06 |
| 1881633790 | Garden State Surgical Associates, P.a. | Surgery | 1511 Park Ave, South Plainfield, NJ 07080-5516 | 2006-06-06 |
| 1902898737 | Thomas Leopold | Internal Medicine | 1511 Park Ave, 2nd Floor, South Plainfield, NJ 07080-5516 | 2005-08-18 |
| 1235121229 | Edwin Blumberg | Internal Medicine | 1511 Park Ave, 2nd Floor, South Plainfield, NJ 07080-5516 | 2005-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271165 | Jersey Dental | General Practice | 4917 Stelton Road, South Plainfield, NJ 07080 | 2019-08-23 |
| 1841746179 | Swati Gupta | Physical Therapist | 547 East Celebration Way, South Plainfield, NJ 07080 | 2016-08-28 |
| 1649626474 | Dungarvin New Jersey, LLC-delaney | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Delaney Ct, South Plainfield, NJ 07080 | 2016-05-11 |
| 1639542947 | Caringhouse Projects, Inc | Respite Care | 111 Jackson Avenue, South Plainfield, NJ 07080 | 2015-11-09 |
| 1861899932 | Joseph Njoroge Kimani | Nurse Practitioner | 123 Lexington Ave, South Plainfield, NJ 07080 | 2014-12-04 |
| 1134529738 | Brianna K. Carri | Physical Therapist | 4911 Stelton Rd, Suite 3, South Plainfield, NJ 07080 | 2014-09-02 |
| 1528312501 | Maritza Mgbako | Counselor | 9 Stacey Court, South Plainfield, NJ 07080 | 2012-10-30 |
| 1871843615 | Viraj Patel | Dermatology | 114 Lakeview Ave, South Plainfield, NJ 07080 | 2012-09-19 |
| 1538441027 | People With Purpose Inc. | Day Training, Developmentally Disabled Services | 137 Lee Place, South Plainfield, NJ 07080 | 2011-09-12 |
| 1962798728 | Ami Patel | Dentist | 3600 Park Ave, Suiten, South Plainfield, NJ 07080 | 2011-06-21 |
| Find all providers in zip 07080 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891710356 | Alec N Simpson | Surgery | 1511 Park Ave, Third Floor, South Plainfield, NJ 07080-5516 | 2006-07-13 |
| 1861435885 | David M Richmand | Surgery | 1511 Park Ave, South Plainfield, NJ 07080-5516 | 2006-06-14 |
| 1972542868 | Vascular Diagnostics | Surgery | 1511 Park Ave, South Plainfield, NJ 07080-5516 | 2006-06-06 |
| 1881633790 | Garden State Surgical Associates, P.a. | Surgery | 1511 Park Ave, South Plainfield, NJ 07080-5516 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
| 1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
| 1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
| 1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
| 1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
| 1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
| 1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
| 1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
| 1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PLAINFIELD |
| Zip Code | 07080 |
Please comment or provide details below to improve the information on GEOFFREY WONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.