MATTHEW WONG (NPI# 1376020321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376020321 |
Entity Type | Individual |
Full Name | MATTHEW WONG |
Credential | PA-C |
Practice Address |
5645 Main St Flushing NY 11355-5045 |
Mailing Address |
8007 14th Ave Bsmt Brooklyn NY 11228-3101 |
Practice Telephone | 7186701333 |
Mailing Telephone | 6466510443 |
Enumeration Date | 2018-07-23 |
Last Update Date | 2020-01-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 022493 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NYS PHYSICIAN ASSISTANT LICENSE | 022493 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
1033343017 | Matthew Wong | Psychologist | 870 Emerald Bay Rd # 303, Box #3, South Lake Tahoe, CA 96150-9403 | 2009-05-06 |
1831723337 | Matthew Wong | Behavior Technician | 25201 Paseo De Alicia Ste 110, Laguna Hills, CA 92653-4627 | 2020-02-24 |
1578123477 | Matthew Wong | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-06-13 |
1588187546 | Matthew K Wong | Registered Nurse | 617 W 168th St, New York, NY 10032-3703 | 2017-07-21 |
1114457959 | Matthew Wong | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2017-06-14 |
1356715502 | Matthew Wong | Chiropractor | 1400 N Dutton Ave, Ste 13, Santa Rosa, CA 95401-4657 | 2015-11-25 |
1255749222 | Matthew Doc Ming Wong | Pharmacist | 10470 Twin Cities Rd, Galt, CA 95632-9032 | 2014-07-23 |
1306101746 | Matthew H Wong | Optometrist | 3553 Whipple Rd, Union City, CA 94587-1507 | 2012-07-11 |
1255625620 | Matthew Ling-yu Wong | Student in an Organized Health Care Education/Training Program | 1 Deaconess Rd, W-cc2, Boston, MA 02215-5321 | 2011-06-02 |
Street Address |
5645 MAIN ST |
City | FLUSHING |
State | NY |
Zip Code | 11355-5045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821094400 | Maryanne Chin | Nurse Anesthetist, Certified Registered | 5645 Main St, Flushing, NY 11355-5045 | 2005-06-28 |
1093315160 | Ashlee Mishae Dillon | Registered Nurse | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-28 |
1275131229 | Dakai Liu | Spec/Tech, Pathology | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-13 |
1194322552 | Priyamvada Pillai | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-07 |
1831705078 | Justine Chirichella | Dietitian, Registered | 5645 Main St, Flushing, NY 11355-5045 | 2020-09-22 |
1063037422 | Chuhyun Jana Myong | Pharmacist | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-11 |
1427673169 | Isabel Yuabov | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-09 |
1174147011 | Philemon Chu | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-06 |
1710501044 | Lea Chernoff | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-02 |
1639793201 | Jiawen Huang | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2020-05-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
Find all providers in zip 11355 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225642598 | Sarah Hyunji Bae | Physician Assistant | 4003 164th St, Flushing, NY 11358-2750 | 2020-09-03 |
1427668961 | Madina Baki | Physician Assistant | 14719 Delaware Ave, Flushing, NY 11355-1703 | 2020-08-07 |
1255940961 | Aliza Ginzberg | Physician Assistant | 13824 77th Ave Apt A, Flushing, NY 11367-2846 | 2020-07-28 |
1407475189 | Shivani Daryani | Physician Assistant | 4323 Colden St Apt 22a, Flushing, NY 11355-5929 | 2020-04-13 |
1366077968 | Si M Bong | Physician Assistant | 3916 Prince St Ste 251, Flushing, NY 11354-5367 | 2020-03-04 |
1477183978 | Samantha Lau | Physician Assistant | 13640 39th Ave Ste 6gb, Flushing, NY 11354-5536 | 2020-01-23 |
1982249959 | Chana Devora Levine | Physician Assistant | 14449 72nd Rd, Flushing, NY 11367-2405 | 2019-11-13 |
1629612734 | Shiran Ibragimov | Physician Assistant | 15064 77th Rd, Flushing, NY 11367-3423 | 2019-10-31 |
1932741402 | Tara Sung | Physician Assistant | 14446 26th Ave Apt 2, Flushing, NY 11354-1327 | 2019-10-16 |
1982253084 | Michelle Yunrui Luo | Physician Assistant | 13347 Sanford Ave Ste 1d, Flushing, NY 11355-5816 | 2019-09-10 |
Find all providers in FLUSHING |
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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.