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DR. KEVIN WONG MD
NPI 1205331238
Otolaryngology in Newark, NJ

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment
90 BERGEN ST STE 8100, NEWARK, NJ 07103(212) 241-6500 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2025, Mar 30, 2018 (2 updates tracked since 2018).

About Dr. Kevin Wong Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN WONG MD (NPI 1205331238) is an individual otolaryngology provider in Newark, New Jersey, licensed in New Jersey (25MA12598200) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and is a graduate of Boston University School Of Medicine (2018).

NPPES Registry Identity

NPI1205331238
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KEVIN WONGCredential: MD
Location Address90 BERGEN ST STE 8100Newark, NJ 07103-2425
Mailing Address90 Bergen St Ste 8100Newark, NJ 07103-2425
Phone(212) 241-6500
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2018
Enumeration DateMarch 30, 2018
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1205331238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NJ · 25MA12598200
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
90 BERGEN ST STE 8100, Newark, NJ 07103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Wong Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901267392
PECOS Enrollment IDI20250522002966
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Associates Of New Jersey Inc
Same address
Surgery
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 clinicians in this Medicare group
NPI 1639189236 (973) 972-5045
University Of Penn - Medical Group
59 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
595 W STATE ST STE 207
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1538056163 (215) 345-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AARON TUCKER MD
Student in an Organized Health Care Education/Training Program
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2548
UNIVERSITY NEUROSURGERY ASSOCIATES (OM)
Neurological Surgery
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2323
KIM DOVALO
Nurse Practitioner (Family)
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2897
DANA PATRICIA LOMA NP
Nurse Practitioner (Family)
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2548
DANIEL S PARDO MD
Student in an Organized Health Care Education/Training Program
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2548
ROMAN POVOLOTSKIY MD
Otolaryngology
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-2548
CHRISTOPHER MICHAEL MARTINI ATC
Specialist/Technologist (Athletic Trainer)
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 926-6448
TRAVIS RAMIRO QUINOA MD
Student in an Organized Health Care Education/Training Program
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Essex County (973) 972-1164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Wong's NPI number?

The NPI number for Kevin Wong is 1205331238. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Kevin Wong located?

Kevin Wong practices at 90 Bergen St Ste 8100, Newark, NJ 07103. The listed phone number is (212) 241-6500.

What is Kevin Wong's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kevin Wong enrolled in Medicare?

Yes. Kevin Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kevin Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Wong reassigns Medicare benefits to 2 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ) and University Of Penn - Medical Group (Doylestown, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kevin Wong affiliated with any hospitals?

According to CMS data, Kevin Wong is affiliated with Jersey City Medical Center, Cooperman Barnabas Medical Center and The University Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Wong was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.