Albert C Wong, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

11067 Issued in NJ

Practice address

260 Ridge Rd
Lyndhurst, NJ 07071-1904

Phone

(201) 933-0666

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013034420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711904",
            "telephone_number": "201-933-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711904",
            "telephone_number": "201-933-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "11067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Zisalo Wancier, M.D.
• Tevin Weems
• Tashia Williams, DNP
• Omar Wilson
• Lee Ming Wong, O.D.
• Nesma Youssef
• Yvhh Limited Liability Company
• Frank V. Zaccaria, D.C.
• Michael Zakko, L.AC.

• Prosthodontics in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Prosthodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.