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MARY WONG M.D.
NPI 1417994195
Pediatrics - Neurodevelopmental Disabilities in Mayfield Hts, OH

Active since June 01, 2006PECOS Enrolled
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124(216) 449-4500 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Wong M.d. NPPES

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

MARY WONG M.D. (NPI 1417994195) is an individual neurodevelopmental disabilities provider in Mayfield Hts, Ohio, licensed in Ohio (35.078204) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417994195
Entity TypeIndividualFemale
Primary Taxonomy2080P0008X
Provider Legal NameMARY WONGCredential: M.D.
Location Address6780 MAYFIELD RDMayfield Hts, OH 44124-2203
Mailing Address2801 Martin Luther King Jr Dr, Cr-11Cleveland, OH 44104-3815 · (216) 448-6254
Phone(216) 449-4500
Sole ProprietorYes
Enumeration DateJune 1, 2006
Last NPPES UpdateMarch 31, 2016
✔ NPI 1417994195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in OH · 35.078204
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
Also ListedPediatricsTaxonomy 208000000X · License 35.078204 (OH)
6780 MAYFIELD RD, Mayfield Hts, OH 44124
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Other Identifiers 3

Other942460636468OH · Caresource
Medicaid2216444OH
Medicare UPINF85611OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Wong M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MRS. MICHELE CELESTE EDGINGTON C.C.P.
Perfusionist
6780 MAYFIELD RD
MAYFIELD HTS, OH 44124
Cuyahoga County (440) 312-4500
HOWARD A SCHULTZ PA-C
Physician Assistant
6780 MAYFIELD RD
MAYFIELD HTS, OH 44124
Cuyahoga County (440) 449-4500
MIA KATHERINE RIZZO CAA
Anesthesiologist Assistant
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (440) 312-4500
HILLCREST DIAGNOSTIC CARDIOLOGY
Internal Medicine (Cardiovascular Disease)
6780 MAYFIELD RD
CLEVELAND, OH 44124
Cuyahoga County (440) 312-4399
DR. CHRISTINE LYNN PROUDFIT MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (440) 312-2229
MRS. STEPHANIE MARIE RIVERA MSN, APRN, FNP-C
Nurse Practitioner (Family)
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (216) 476-7000
MR. JAMES KUS
Physical Therapist
6780 MAYFIELD RD, REHAB DEPARTMENT
MAYFIELD HTS, OH 44124
Cuyahoga County (440) 312-8560
ALLISON JINDRA CNP
Nurse Practitioner (Obstetrics & Gynecology)
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (440) 312-4500

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 Mary Wong's NPI number?

The NPI number for Mary Wong is 1417994195. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Mary Wong located?

Mary Wong practices at 6780 Mayfield Rd, Mayfield Hts, OH 44124. The listed phone number is (216) 449-4500.

What is Mary Wong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Mary Wong enrolled in Medicare?

Yes. Mary Wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Wong was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.