PATRICIA AIE-LAN WONG (NPI# 1205189032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205189032 |
| Entity Type | Individual |
| Full Name | PATRICIA AIE-LAN WONG |
| Credential | FNP-BC, RN |
| Practice Address |
1200 Centre St Roslindale MA 02131-1000 |
| Practice Telephone | 6173638010 |
| Practice Fax Number | 6173638929 |
| Mailing Telephone | 6173638010 |
| Mailing Fax Number | 6173638929 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2264036 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | S400132099 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154728152 | Patricia Wong | Acupuncturist | 3016 Cheyenne Ct, Anchorage, AK 99507-3066 | 2014-11-20 |
| 1801223441 | Patricia Wong | Occupational Therapist | 7010 Piney Branch Rd Nw, Takoma Education Campus, Washington, DC 20012-2418 | 2013-09-27 |
| 1871794180 | Patricia Deanne Wong | Speech-Language Pathologist | 20400 Saratoga Los Gatos Rd, Saratoga, CA 95070 | 2007-05-31 |
| 1659433936 | Patricia Wong | Internal Medicine | 100 East Lankenau Avenue, Suite 252, Wynnewood, PA 19096 | 2006-12-14 |
| 1629138847 | Patricia Lynn Wong | Dermatology | 153 Forest Ave, Palo Alto, CA 94301 | 2006-12-11 |
| 1205906138 | Patricia M Wong | Dentist | 1530 Judah St, San Francisco, CA 94122 | 2006-11-08 |
| 1780221648 | Patricia Wong | Nurse Practitioner | 105 Elk Fork Rd, Elkton, KY 42220-7218 | 2019-12-10 |
| 1962890327 | Patricia Wong | Social Worker | 13899 Biscayne Blvd, 137, North Miami Beach, FL 33181-1600 | 2015-01-07 |
| 1871907501 | Patricia Wong | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1801 | 2014-06-20 |
| 1255684080 | Patricia L Wong | Speech-Language Pathologist | 780 Dickinson Rd, Chesterton, IN 46304-3551 | 2012-10-17 |
| Street Address |
1200 CENTRE ST |
| City | ROSLINDALE |
| State | MA |
| Zip Code | 02131-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607917 | Frederick Rowland | Internal Medicine | 1200 Centre St, Department of Medicine, Roslindale, MA 02131-1000 | 2005-05-23 |
| 1013517911 | Madeleine Bonneville | Physical Therapist | 1200 Centre St, Roslindale, MA 02131-1011 | 2020-10-29 |
| 1295384436 | Alaa H Qari | Student in an Organized Health Care Education/Training Program | 1200 Centre St, Roslindale, MA 02131-1000 | 2019-09-10 |
| 1790338473 | Prajakta Joshi | Student in an Organized Health Care Education/Training Program | 1200 Centre St, Roslindale, MA 02131-1000 | 2019-07-22 |
| 1003395922 | Madeleine Wan Yong Tan | Dentist | 1200 Centre St, Roslindale, MA 02131-1000 | 2018-08-10 |
| 1477069391 | Hebrew Seniorlife Affiliated Medical Group Inc | Internal Medicine | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-12-15 |
| 1962929604 | Rachael Falk | Psychologist | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-08-24 |
| 1154847507 | Geraldo Silva | Nurse Practitioner | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-08-17 |
| 1114360195 | Olivia Justine Liff | Family Medicine | 1200 Centre St, Roslindale, MA 02131-1000 | 2013-04-09 |
| 1194078220 | Susan A Poludniak | Dietitian, Registered | 1200 Centre St, Department of Medicine, Roslindale, MA 02131-1011 | 2012-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120513 | Wells of Wellness, LLC | Registered Nurse | 993 South Street, Apt, Suite, Floor, Etc., Roslindale, MA 02131 | 2020-10-08 |
| 1760952881 | Patricia J Dunn | Social Worker | 51 Braden Street, Roslindale, MA 02131 | 2018-12-01 |
| 1750864518 | Maria T. Alvarado | Social Worker | 18 Manusr Street, Roslindale, MA 02131 | 2018-09-07 |
| 1306342951 | Roslindale Center Chiropractic Inc | Chiropractor | 17 Corinth St, Roslindale, MA 02131 | 2018-04-03 |
| 1629511241 | Maddy Morrin | Student in an Organized Health Care Education/Training Program | 17 Archdale Rd, Roslindale, MA 02131 | 2016-11-30 |
| 1346600434 | Stephanie Messina | Student in an Organized Health Care Education/Training Program | Home for Little Wanderers Clinic, 780 American Legion Hwy, Roslindale, Ma 02131, Roslindale, MA 02131 | 2016-03-02 |
| 1497143762 | Priority Home Care Services LLC | Home Health | 43 Cummins High Way, Suite 3, Boston, MA 02131 | 2015-01-08 |
| 1841610078 | Ryan Kennedy | Student in an Organized Health Care Education/Training Program | 478 American Legion Highway, Roslindale, MA 02131 | 2014-04-28 |
| 1780011833 | Casey A Pagliaro | Marriage & Family Therapist | 4238 Washington Street, Suite 316, The Leggett Group, Roslindale, MA 02131 | 2013-10-03 |
| 1902238025 | Ann Wheeler | Social Worker | Thlw 780 American Legion Highway, Roslindale, MA 02131 | 2013-07-31 |
| Find all providers in zip 02131 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295199305 | Darlyne Christy Janvier | Nurse Practitioner | 39 Aldrich St, Roslindale, MA 02131-2701 | 2016-04-06 |
| 1245381664 | Alexis P Kelleher | Nurse Practitioner | 1200 Centre Street, Department of Medicine, Roslindale, MA 02131 | 2007-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | ROSLINDALE |
| Zip Code | 02131 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.