JEAN F. WONG (NPI# 1891988648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891988648 |
| Entity Type | Individual |
| Full Name | JEAN F. WONG |
| Credential | MD |
| Practice Address |
455 Lewis Ave Suite 210 Meriden CT 06451-2121 |
| Practice Telephone | 2032381241 |
| Practice Fax Number | 2036860791 |
| Mailing Telephone | 2032381241 |
| Mailing Fax Number | 2036860791 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2011-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 048139 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 048139 | 01 |
| CT | 1891988648 | 05 | |
| CT | PRIVATE HEALTHCARE SYSTEMS | 06-1406459 | 01 |
| CT | HEALTH NEW ENGLAND | 06-1406459 | 01 |
| CT | TRICARE | 06-1406459 | 01 |
| CT | WELLCARE | 57294 | 01 |
| CT | CIGNA | 9048959 | 01 |
| CT | ANTHEM BCBS | 1891988648 | 01 |
| CT | HEALTH NET | 3V6324 | 01 |
| CT | PIONEER | 06-1406459 | 01 |
| CT | CORVEL | 06-1406459 | 01 |
| CT | MULTIPLAN | 06-1406459 | 01 |
| CT | OXFORD | P4179178 | 01 |
| CT | UNITED HEALTHCARE | 06-1406459 | 01 |
| CT | NORTHEAST HEALTH DIRECT | 06-1406459 | 01 |
| CT | COMMUNITY HEALTH NETWORK | 06-1406459 | 01 |
| CT | AETNA | 1891988648 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023332954 | Jean Wong | Pharmacist | 226 Clinton St, Hempstead, NY 11550-2614 | 2010-03-22 |
| 1164541553 | Jean Hsien-chen Wong | Family Medicine | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2007-03-28 |
| 1457435166 | Jean Wong | Social Worker | 12440 Imperial Hwy, Suite 116, Norwalk, CA 90650-3177 | 2006-10-25 |
| 1184730301 | Jean Wong | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-08-21 |
| Street Address |
455 LEWIS AVE SUITE 210 |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986898 | David M Sack | Internal Medicine | 455 Lewis Ave, Suite 105, Meriden, CT 06451-2121 | 2005-07-20 |
| 1740601665 | Katelyn Spence | Nurse Practitioner | 455 Lewis Ave, Suite 220, Meriden, CT 06451-2121 | 2013-12-18 |
| 1336491752 | Hartford Healthcare Medical Group, Inc | Urology | 455 Lewis Ave, Ste. 210, Meriden, CT 06451-2121 | 2012-10-09 |
| 1316227291 | Hartford Clinical Associates, PC | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2011-08-23 |
| 1265669089 | Madhavi Bhoomagoud | Internal Medicine | 455 Lewis Ave, Suite 105, Meriden, CT 06451-2121 | 2009-06-18 |
| 1982839247 | Connecticut Nephrology Associates LLC | Internal Medicine | 455 Lewis Ave, Suite 214, Meriden, CT 06451-2121 | 2009-05-15 |
| 1639316177 | Rafal Barczak | Surgery | 455 Lewis Ave, Meriden, CT 06451-2121 | 2009-01-20 |
| 1598919045 | Paul Pyo | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2008-11-11 |
| 1962654178 | Bluegrass Medicine & Nephrology, LLC | Clinic/Center | 455 Lewis Ave, Suite 214, Meriden, CT 06451-2121 | 2008-10-21 |
| 1366692691 | Aly Hemdan Abdalla | Internal Medicine | 455 Lewis Ave, Suite 206, Meriden, CT 06451-2121 | 2008-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| Find all providers in zip 06451 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336491752 | Hartford Healthcare Medical Group, Inc | Urology | 455 Lewis Ave, Ste. 210, Meriden, CT 06451-2121 | 2012-10-09 |
| 1316227291 | Hartford Clinical Associates, PC | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2011-08-23 |
| 1598919045 | Paul Pyo | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2008-11-11 |
| 1851474126 | Kenneth R Kurz | Urology | 455 Lewis Ave, Ste 210, Meriden, CT 06451-2121 | 2006-10-23 |
| 1205919586 | Robert F Morrison | Urology | 455 Lewis Ave, Ste 210, Meriden, CT 06451-2121 | 2006-10-23 |
| 1194735894 | Urological Associates of Central Ct | Urology | 455 Lewis Ave, Suite 210, Meriden, CT 06451-2121 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1407325863 | Health Quest Medical Practice, PC | Urology | 120 Park Lane Poad, Suite A202, New Milford, CT 06776-2445 | 2018-11-15 |
| 1740667815 | Keith Richard O'brien | Urology | 2600 Main St Ste 119, Bridgeport, CT 06606-5305 | 2015-04-28 |
| 1336534312 | David Thomas Ahlborn | Urology | 80 Seymour St Dept Of, Hartford, CT 06106-3315 | 2015-04-06 |
| 1487095451 | Alan Cahn Davidson | Urology | 15 Edgehill Dr, Woodbridge, CT 06525-1418 | 2013-07-08 |
| 1003158106 | Christine White Cumarasamy | Urology | Hartford Hospital Urology Dept, 79 Retreat Avenue, Hartford, CT 06106 | 2013-03-27 |
| 1568722551 | Joseph Mathew Brito IIi | Urology | 789 Howard Ave # Fmp302, New Haven, CT 06519-1304 | 2012-05-23 |
| 1861768749 | Philip B. Jensen | Urology | 59 Hilltop Road, Sharon, CT 06069-0727 | 2012-03-26 |
| 1568749612 | Michael G Tager | Urology | 104 Imperial Ave, Westport, CT 06880-5034 | 2011-11-03 |
| 1679869572 | Dana Ufnal Kivlin | Urology | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | 2011-06-20 |
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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.