DR. JOHNSON TAI WONG (NPI# 1659362820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659362820 |
| Entity Type | Individual |
| Full Name | DR. JOHNSON TAI WONG |
| Credential | MD |
| Practice Address |
8 Hawthorne Pl Suite 104 Boston MA 02114-2335 |
| Practice Telephone | 6177425730 |
| Practice Fax Number | 6177426917 |
| Mailing Telephone | 6177425730 |
| Mailing Fax Number | 6177426917 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207K00000X | Allergy & Immunology | 53165 | MA | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 53165 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3009017 | 05 | |
| MA | TUFTS HEALTH PLAN | 713318 | 01 |
| MA | BCBS MA | J05499 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184875759 | Johnson Kar Tsun Wong | Internal Medicine | 14568a Mono Way, Sonora, CA 95370-8858 | 2005-09-23 |
| 1780147389 | Johnson Chan Wong | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2019-04-10 |
| 1861846909 | Johnson Wong | Internal Medicine | 621 S New Ballas Rd Ste 112a, Creve Coeur, MO 63141-8252 | 2016-04-14 |
| 1134517980 | Johnson Wong | Physician Assistant | 9787 N 91st St, 101, Scottsdale, AZ 85258-5088 | 2015-01-02 |
| Street Address |
8 HAWTHORNE PL SUITE 104 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949041 | Kimberly Anise Powers | Internal Medicine | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2005-08-19 |
| 1578762019 | Richard R Liberthson, Md, PC | Pediatrics | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2007-07-14 |
| 1679771646 | Charles A Boucher Md PC | Internal Medicine | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2007-07-10 |
| 1144289729 | David Dybdal | Psychiatry & Neurology | 8 Hawthorne Pl, Suite 106, Boston, MA 02114-2335 | 2006-03-21 |
| 1013986801 | Charles Allen Boucher | Internal Medicine | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2006-03-15 |
| 1699742346 | Richard R Liberthson | Internal Medicine | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2006-03-01 |
| 1285600155 | Ami Bharat Bhatt | Internal Medicine | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2006-02-28 |
| 1760468029 | Allergy & Asthma Associates, P.C. | Allergy & Immunology | 8 Hawthorne Pl, Suite 104, Boston, MA 02114-2335 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588927263 | Alberta L Wang | Allergy & Immunology | Pediatric Pulmonary and Allergy, 725 Albany Street, Shapiro 8, Boston, MA 02118 | 2012-06-19 |
| 1972749430 | Robert Weinstein | Allergy & Immunology | 177 Commonwealth Ave, Boston, MA 02116-2213 | 2009-01-05 |
| 1558347047 | Daniel L Hamilos | Allergy & Immunology | Mgh Allergy Associates Clinic, 55 Fruit St - Cox 201, Boston, MA 02114-3117 | 2005-12-16 |
| 1982694287 | Allen Lapey | Allergy & Immunology | 275 Cambridge St, Suite 530, Boston, MA 02114-3130 | 2005-10-27 |
| 1710523147 | Boston Food Allergy Center LLC Bi Network | Allergy & Immunology | 65 Harrison Ave Ste 201, Boston, MA 02111-1924 | 2019-11-20 |
| 1558906198 | Boston Food Allergy Center | Allergy & Immunology | 65 Harrison Ave Ste 201, Boston, MA 02111-1924 | 2019-11-07 |
| 1073027249 | Abduarahmn Almutairi | Allergy & Immunology | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-11-27 |
| 1356892293 | Alan Anh-chuong Nguyen | Allergy & Immunology | 300 Longwood Ave, Boston, MA 02115 | 2016-10-15 |
| 1154716967 | Theodore Lee | Allergy & Immunology | 72 E Concord St, Boston, MA 02118 | 2015-03-30 |
| 1932527983 | Mariam Guenther | Allergy & Immunology | 75 State Street, Boston, MA 02109 | 2014-04-06 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on DR. JOHNSON TAI 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.