TRACIE WONG (NPI# 1619185675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619185675 |
| Entity Type | Individual |
| Full Name | TRACIE WONG |
| Credential | MD |
| Practice Address |
155 Polifly Rd Suite 102 Hackensack NJ 07601-1758 |
| Practice Telephone | 5519968840 |
| Practice Fax Number | 2014419949 |
| Mailing Telephone | 5519968840 |
| Mailing Fax Number | 2014419949 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
25MA08305500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
155 POLIFLY RD SUITE 102 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700832573 | Austin H Wong | Pediatrics | 155 Polifly Rd, Suite 106, Hackensack, NJ 07601-1758 | 2006-05-25 |
| 1982095675 | Kathleen White | Dietitian, Registered | 155 Polifly Rd, Hackensack, NJ 07601-1758 | 2015-02-17 |
| 1629495882 | Hackensack University Medical Association PC | Clinic/Center | 155 Polifly Rd, Hackensack, NJ 07601-1758 | 2014-03-26 |
| 1811239114 | Hannah Seonghyun Kim | Pediatrics | 155 Polifly Rd, Hackensack, NJ 07601-1758 | 2013-03-25 |
| 1194076968 | Elite Obgyn Professional Corporation | Specialist | 155 Polifly Rd, Ste #207, Hackensack, NJ 07601-1758 | 2012-09-19 |
| 1467722512 | Natural Pediatrics, LLC | Specialist | 155 Polifly Rd, Suite 204, Hackensack, NJ 07601-1758 | 2012-01-06 |
| 1144526674 | Cengiz Yucel | Pediatrics | 155 Polifly Rd, Suite 204, Hackensack, NJ 07601-1758 | 2011-01-31 |
| 1871724583 | Empire Medical Associates, PC | Internal Medicine | 155 Polifly Rd, Suite 207, Hackensack, NJ 07601-1758 | 2009-07-29 |
| 1427241801 | Hackensack Internal Medicine Specialists, P.a. | Internal Medicine | 155 Polifly Rd, Suite 207, Hackensack, NJ 07601-1758 | 2007-08-20 |
| 1639375157 | Sharon D'mello | Pediatrics | 155 Polifly Rd, Suite 102, Hackensack, NJ 07601-1758 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265643068 | Katherine Atienza Orellana | Pediatrics | 155 Polifly Rd Ste 102, Hackensack, NJ 07601-1771 | 2007-05-24 |
| 1053639229 | Payal Ameesh Makadia | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2010-05-12 |
| 1639375157 | Sharon D'mello | Pediatrics | 155 Polifly Rd, Suite 102, Hackensack, NJ 07601-1758 | 2007-06-22 |
| 1629144084 | Francine Samuels | Pediatrics | 155 Polifly Rd, Suite 102, Hackensack, NJ 07601-1758 | 2006-11-28 |
| 1962449207 | Elaine Moustafellos | Pediatrics | 155 Polifly Rd, Suite 102, Hackensack, NJ 07601-1758 | 2006-06-02 |
| 1508803909 | Bhanu K Sunku | Pediatrics | 360 Essex St, Suite 402, Hackensack, NJ 07601-8550 | 2006-06-02 |
| 1851338644 | Wendy C Jeshion | Pediatrics | 360 Essex St, Suite 402, Hackensack, NJ 07601-8550 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225419377 | Gary Alan Herman | Pediatrics | 45 Arreton Rd, Princeton, NJ 08540-1427 | 2015-06-15 |
| 1487972659 | Jeannette Rose Gonzalez Simon | Pediatrics | 19 Hathaway Ln, Verona, NJ 07044-2306 | 2010-05-12 |
| 1902123615 | Melissa Weidner | Pediatrics | 51 French St, Meb-303, New Brunswick, NJ 08901-1921 | 2010-04-21 |
| 1851537146 | Jay Barth | Pediatrics | 550 Warwick Ave, Teaneck, NJ 07666-2927 | 2008-12-17 |
| 1225290919 | Khadija T Toor | Pediatrics | 38 Meadowlands Pkwy Ste 205, Secaucus, NJ 07094-2925 | 2008-06-25 |
| 1720265234 | Mohini Gautam Patel | Pediatrics | 100 Madison Ave Fl 2, Goryeb Children's Hospital At Morristown Medical Center, Morristown, NJ 07960-6136 | 2008-01-28 |
| 1649484791 | Rupinder K Gill | Pediatrics | Mob 3, Saint Peter's University Hospital, New Brunswick, NJ 08901 | 2007-05-09 |
| 1356336960 | Kathleen Graham Lomax | Pediatrics | 1 Health Plz, Building 125/3434a, East Hanover, NJ 07936-1016 | 2005-09-20 |
| 1578557344 | Martin Daniel Fried | Pediatrics | 3200 Sunset Ave, Suite 100, Ocean, NJ 07712-4567 | 2005-09-07 |
| 1780293126 | Rami Arrouk Md LLC | Pediatrics | 1947 Kennedy Blvd, Jersey City, NJ 07305 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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| 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.