TRACIE WONG MD
NPI 1619185675
Pediatrics - Pediatric Gastroenterology in Hackensack, NJ

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.

Active since May 21, 2007PECOS Enrolled

155 POLIFLY RD, SUITE 102, HACKENSACK, NJ 07601(551) 996-8840(201) 441-9949 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tracie Wong Md NPPES

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

TRACIE WONG MD (NPI 1619185675) is an individual pediatric gastroenterology provider in Hackensack, New Jersey, licensed in New Jersey (25MA08305500) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619185675

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameTRACIE WONGCredential: MD

Location Address155 POLIFLY RD, SUITE 102Hackensack, NJ 07601-1758

Mailing Address155 Polifly Rd, Suite 102Hackensack, NJ 07601-1758 · (551) 996-8840 · Fax (201) 441-9949

Phone(551) 996-8840

Fax(201) 441-9949

Sole ProprietorNo

Enumeration DateMay 21, 2007

Last NPPES UpdateMarch 31, 2017

✔ NPI 1619185675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in NJ · 25MA08305500

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

155 POLIFLY RD, Hackensack, NJ 07601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracie Wong Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.