DR. JOHNSON TAI WONG (MD) – Internal Medicine Physician, NPI 1659362820

DR. JOHNSON TAI WONG (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. 53165 (MA). The NPI Number for DR. JOHNSON TAI WONG (MD) is 1659362820

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHNSON TAI WONG (MD)
NPI
1659362820
Phone
(617) 742-5730
Address
8 HAWTHORNE PL
Enumeration Date
4 November 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
6177425730
Graduation Year
1980 (46 years ago)
PAC ID
1355325689
Group Practice PAC ID
7618027996
Professional Enrollment ID
I20040615001039
Address ID
MA021142335BO8XXXXPLXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

201 ALLERGY/IMMUNOLOGY in MA

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Provider Addresses for DR. JOHNSON TAI WONG (MD)

  • Hawthorne Place, West End, Boston, Suffolk County, Massachusetts, United States

    SUITE 104

    BOSTON, MA 021142335

    Phone: (617) 742-5730

    Fax: (617) 742-6917

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($45).

Total Amount

$80

General + Research + Ownership

Payments

5

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040615001039IAllergy/ImmunologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2357Injection, omalizumab, 5 mg7,66512$0
J0517Injection, benralizumab, 1 mg3,60023$0
95004Test for allergy using allergenic extract2,10244$0
95165Professional service for preparation and provision of 1 or more antigens1,66849$0
95024Test for allergy using allergenic extract injected into skin1,19936$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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Provider's Procedures

DR. JOHNSON TAI WONG (MD) performs procedures in ALLERGY/IMMUNOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYMA95004Injection of allergenic extracts into skin, accessed through the skin246451
ALLERGY/IMMUNOLOGYMA95117Injection of incremental dosages of allergen, 2 or more injections30737

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618027996View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YNY

Reviews

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Frequently asked questions

How is DR. JOHNSON TAI WONG (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JOHNSON TAI WONG (MD) with NPI 1659362820.
Can I rely on DR. JOHNSON TAI WONG (MD) being an active provider?
As of the registry snapshot, DR. JOHNSON TAI WONG (MD) is marked active.
What is DR. JOHNSON TAI WONG (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. JOHNSON TAI WONG (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. JOHNSON TAI WONG (MD) serve?
DR. JOHNSON TAI WONG (MD)'s listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
Is the information about DR. JOHNSON TAI WONG (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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