Wilfremie M Wong-Tarley, RN, PTA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

740216 Issued in NY

Practice address

1107 Father Capodanno Blvd
Staten Island, NY 10306-6059

Phone

(212) 961-7586

NPI assigned

Aug 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1073160107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 FATHER CAPODANNO BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066059",
            "telephone_number": "212-961-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 FATHER CAPODANNO BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066059",
            "telephone_number": "212-961-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG-TARLEY",
        "first_name": "WILFREMIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RN, PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "008680",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "740216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Womens Healthcare of Si, PLLC
• Oluwaytoyin Womiloju, LPN
• DO Soo Won, DDS
• Wonderful Motion LLC
• Wonderful Motion Physical Therapy PC
• Wing Mun Wong-Tom, PT, MS, OCS
• Alison Wong
• Anson Wong, DPT
• Christopher Andrew Wong
• Chum-Hung Wong, RPH

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.