WAIJUN JESSICA WONG (NPI# 1326504663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326504663 |
| Entity Type | Individual |
| Full Name | WAIJUN JESSICA WONG |
| Practice Address |
446 Fairview Ave Ste 100 Hudson NY 12534-1048 |
| Mailing Address |
3237 58th St Apt 2 Woodside NY 11377-2025 |
| Practice Telephone | 5182673272 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 061367 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27005 76th Ave, New Hyde Park, NY 110401496 | 7184703076 |
| Street Address |
446 FAIRVIEW AVE STE 100 |
| City | HUDSON |
| State | NY |
| Zip Code | 12534-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426446 | Sharyn Ann Flesher | Registered Nurse | 131 Union Turnpike, Columbia-greene Education Center, Hudson, NY 12534 | 2015-05-08 |
| 1205239233 | Rachel N Lopez | Nurse Practitioner | 67 Prospect Avenue, Suite 250, Hudson, NY 12534 | 2014-10-05 |
| 1649601535 | Joan Delisca Groll | Registered Nurse | 215 Harry Howard Avenue, Hudson, NY 12534 | 2013-12-03 |
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1366751653 | Carri Coons | Licensed Practical Nurse | 140 Maple Lane Lot 85, Husdon, NY 12534 | 2010-10-04 |
| 1013244185 | Richard B Weininger | Internal Medicine | 125 Millbrook Road, Hudson, NY 12534 | 2009-11-11 |
| 1417196155 | Triform Enterprises Ltd. | Day Training, Developmentally Disabled Services | 20 Triform Road, Hudson, NY 12534 | 2009-02-19 |
| 1881854966 | Foot Specialist Associates P.C. | Podiatrist | 540 Joslen Boulevard, Hudson, NY 12534 | 2008-06-12 |
| 1659558989 | Gary L Stoller | Dentist | 5 Mckinstry Pl, Hudson, NY 12534 | 2008-01-29 |
| 1255523502 | Pulcher & Sacco Inc | Bus | 469 Fairview Ave, Hudson, NY 12534 | 2007-08-10 |
| Find all providers in zip 12534 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942866850 | Janel Lynn Ashley | Dentist | 900 6th St N Ste 200, Hudson, WI 54016-7172 | 2019-05-15 |
| 1174044465 | Brian Raasch | Dentist | 101 E Bison Hwy, Hudson, CO 80642-5028 | 2017-06-28 |
| 1205361862 | Shane Dental LLC | Dentist | 108 Walnut St Unit A, Hudson, WI 54016-4501 | 2017-04-20 |
| 1053763524 | Yoon Jae Lee | Dentist | 66 Cox St, Hudson, MA 01749-1441 | 2016-07-08 |
| 1366829780 | Harold Rothermel | Dentist | 281 Aurora St, Hudson, OH 44236-2942 | 2015-05-05 |
| 1295091171 | Tom Olaf Kloster | Dentist | 2215 Vine St Ste D, Hudson, WI 54016-5862 | 2012-04-05 |
| 1144508441 | Shahenaz Suliman | Dentist | 11707 Lakewood Dr, Hudson, FL 34669-2906 | 2011-08-03 |
| 1801181250 | Christopher Buege | Dentist | 900 Crest View Dr, Suite 240, Hudson, WI 54016-9516 | 2011-06-14 |
| 1841503604 | Aparna Khanna | Dentist | 26 Derry St, Hudson, NH 03051-4008 | 2010-07-22 |
| 1730337221 | Armina Azary | Dentist | 46 Ravenna St Ste A6, Hudson, OH 44236-3058 | 2008-09-09 |
| Find all providers in HUDSON | ||||
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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.