MATTHEW K WONG (NPI# 1588187546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588187546 |
| Entity Type | Individual |
| Full Name | MATTHEW K WONG |
| Credential | RN |
| Practice Address |
617 W 168th St New York NY 10032-3703 |
| Mailing Address |
116 John St Apt 1506 New York NY 10038-5617 |
| Practice Telephone | 2123055756 |
| Mailing Telephone | 6505206864 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2018-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 717958 | NY | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F382837 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1376020321 | Matthew Wong | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2018-07-23 |
| 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 |
617 W 168TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508816497 | James Clifton Roberson IIi | Nurse Anesthetist, Certified Registered | 617 W 168th St, New York, NY 10032-3703 | 2006-05-11 |
| 1952933723 | Daniel Geller | Occupational Therapist | 617 W 168th St, New York, NY 10032-3925 | 2020-02-10 |
| 1467973966 | Diana Fern Yu | Registered Nurse | 617 W 168th St, New York, NY 10032-3703 | 2017-07-05 |
| 1821528431 | Zara Goldfarb | Nurse Practitioner | 617 W 168th St, New York, NY 10032 | 2017-06-15 |
| 1730618695 | Stephanie Loria | Registered Nurse | 617 W 168th St, New York, NY 10032-3703 | 2017-06-05 |
| 1770014086 | Amy Asheroff | Registered Nurse | 617 W 168th St, New York, NY 10032-3703 | 2017-03-27 |
| 1285172189 | Brittany Raven-rayana Richards | Registered Nurse | 617 W 168th St, New York, NY 10032-3703 | 2017-02-10 |
| 1669921813 | Shazia Mitha | Registered Nurse | 617 W 168th St, New York, NY 10032-3703 | 2016-09-29 |
| 1407209653 | Columbia University | Registered Nurse | 617 W 168th St, New York, NY 10032-3703 | 2016-07-22 |
| 1184077505 | Kathryce Suguitan | Registered Nurse | 617 W 168th St, New York, NY 10032-3703 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1124642061 | Corrinne L Brumit | Nurse Practitioner | 345 W 14th St Apt 6c, New York, NY 10014-5284 | 2020-06-06 |
| 1508400482 | Katherine Jane Ponsoldt | Nurse Practitioner | 529 Broome St Apt 20, New York, NY 10013-6404 | 2019-11-04 |
| 1174183487 | Sarah Winthrop Brown | Nurse Practitioner | 280 Park Ave S Apt 24e, New York, NY 10010-6134 | 2019-06-18 |
| 1043711062 | Lori Sperber | Nurse Practitioner | 10 Union Sq E Ste 5g, New York, NY 10003 | 2018-02-25 |
| 1922514116 | Jung Sin Cho | Nurse Practitioner | 46 Fort Washington Avenue, Suite 2, New York, NY 10032 | 2017-12-26 |
| 1023402401 | Lydia Louise Clark-sumpter | Nurse Practitioner | 2588 7th Ave, Apt 5c, New York, NY 10039-2605 | 2015-03-24 |
| 1487074225 | Hilary Carlson | Nurse Practitioner | 200 E 82nd St Apt 11h, New York, NY 10028-2749 | 2014-04-20 |
| 1922368943 | Nancy De Guzman | Nurse Practitioner | 160 E 32nd St Suite L3-medical, New York, NY 10016-6004 | 2012-05-23 |
| 1366700551 | Anna Aluf | Nurse Practitioner | 1468 Madison Ave Bldg 4th, New York, NY 10029-6508 | 2012-04-25 |
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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.