MATTHEW WONG


Address: 5645 Main St, Flushing, NY 11355-5045
Phone: 7186701333

MATTHEW WONG (NPI# 1376020321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 022493 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NYS PHYSICIAN ASSISTANT LICENSE 022493 01

Other Providers MATTHEW WONG

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

Office Location

Street Address 5645 MAIN ST
City FLUSHING
State NY
Zip Code 11355-5045

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City FLUSHING
Zip Code 11355

Improve Information

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Dataset Information

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.

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