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NPI profile

MATT WONG

NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.

NPI record foundexcludedNPI API source

Identity

NPI
1790810596
Entity type
NPI-1
Primary taxonomy
111N00000X
NPI source updated
Apr 07, 2008
Enumeration date
Feb 22, 2007
Cache fetched
May 05, 2026

NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.

OIG LEIE screening

excludedConfidence: high

Exact OIG exclusion match by NPI.

MATT WONGExact OIG exclusion match by NPI.

NPI addresses

NPI addresses from the official registry record
PurposeAddressPhone
MAILING6509652225
LOCATION6509652225
Screen a CSVNPI and OIG data notes

FAQ

Practical notes

Does an NPI record validate licensure?

No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.