TIMOTHY WONG (NPI# 1760988901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760988901 |
| Entity Type | Individual |
| Full Name | TIMOTHY WONG |
| Credential | MD |
| Practice Address |
90 Bergen St Ste 8100 Newark NJ 07103-2425 |
| Mailing Address |
90 Bergen Street Suite 8100 (room 8113) Newark NJ 07102-3076 |
| Practice Telephone | 8482281168 |
| Mailing Telephone | 9739721164 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043588775 | Timothy Kenji Wong | Psychologist | 3301 Ocean Park Blvd Ste 210, Santa Monica, CA 90405-3230 | 2011-12-08 |
| 1023392008 | Timothy Wong | Pharmacist | 802 S Santa Fe Ave, Vista, CA 92084 | 2011-10-07 |
| 1639473978 | Timothy David Wong | Dentist | 85 4th Ave, 2c, New York, NY 10003-5205 | 2010-12-30 |
| 1851461065 | Timothy C Wong | Optometrist | 6430 W Sunset Blvd Ste 703, Los Angeles, CA 90028-7910 | 2006-11-08 |
| 1417913864 | Timothy Wong | Family Medicine | 1851 Marsh Rd, Plaza IIi, Wilmington, DE 19810-4505 | 2006-04-25 |
| 1316573256 | Timothy Wong | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-03-22 |
| 1699236042 | Timothy Wong | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-0293 | 2019-03-28 |
| 1871077750 | Timothy Wong | Dentist | 1728 S San Gabriel Blvd, San Gabriel, CA 91776-3986 | 2018-09-18 |
| 1467947556 | Timothy L Wong | Student in an Organized Health Care Education/Training Program | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2018-06-29 |
| 1538676804 | Timothy Wong | Pharmacist | 165 E Foothill Blvd, Arcadia, CA 91006-2506 | 2018-01-08 |
| Street Address |
90 BERGEN ST STE 8100 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316068927 | Chirag D Gandhi | Neurological Surgery | 90 Bergen St Ste 8100, Neurological Institute of New Jersey, Newark, NJ 07103-2425 | 2007-04-02 |
| 1396365821 | Evgenii Belykh | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-24 |
| 1194353300 | Sydney Rae Zaransky | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1225667355 | Roman Povolotskiy | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1346878550 | Travis Ramiro Quinoa | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1982232047 | Paul Thomas Cowan | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1518595685 | Jordan Thompson | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1033765383 | University Neurosurgery Associates (om) | Neurological Surgery | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2019-08-13 |
| 1194220517 | Mayand Praful Vakil | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2018-03-27 |
| 1164926770 | Kelly Glenn Speich | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2018-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477165959 | Nikolina Markovic | Student in an Organized Health Care Education/Training Program | 140 Bergen St # I121, Newark, NJ 07103-2425 | 2020-08-17 |
| 1770191413 | Matthias Dunse | Student in an Organized Health Care Education/Training Program | 90 Bergen St # 5200, Newark, NJ 07103-2425 | 2020-07-20 |
| 1659998805 | Alejandra Lazaro | Student in an Organized Health Care Education/Training Program | 35982 Burning Tree Dr, Newark, CA 94560-1530 | 2020-07-02 |
| 1912524968 | Tyson Mellish Anthony | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave Bldg G595, Newark, NJ 07103-2757 | 2020-06-25 |
| 1891319646 | Mary Thi Tran | Student in an Organized Health Care Education/Training Program | 6230 Smith Ave, Newark, CA 94560-4541 | 2020-06-07 |
| 1891319638 | Onoyom O Onyile | Student in an Organized Health Care Education/Training Program | 110 Bergen St Rm C-723, Newark, NJ 07103-2495 | 2020-06-07 |
| 1235750936 | Dave Arnanth Thiyagaram | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave Medical Science Building, Suite G, Newark, NJ 07103-2757 | 2020-05-04 |
| 1619597093 | Naana Boachie | Student in an Organized Health Care Education/Training Program | 11 7th Ave Apt 5c, Newark, NJ 07104-3303 | 2020-04-25 |
| 1447870480 | Hadeel Samy Sadek | Student in an Organized Health Care Education/Training Program | 150 Bergen St # Uhi248, Newark, NJ 07103-2496 | 2020-04-20 |
| 1225657836 | Deneshia Mcintosh | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave Bldg G594, Newark, NJ 07103-2757 | 2020-04-14 |
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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.