Active NPI
Christine N Wong, DDS
- Periodontics
- New York, NY
National Provider Identifier
1093073637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 056838-1
- Practice address
- 110 E 40TH St RM 104
New York, NY 10016 - Phone
- (212) 682-2965
- NPI assigned
- May 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 056838-1 | NY | Primary |
| Periodontics | 1223P0300X | 22DI02671600 | NJ |
Addresses
Primary practice location
110 E 40TH St RM 104
New York, NY 10016
Mailing address
1563 Parker Ave
Fort Lee, NJ 07024-7002
Phone (201) 461-4133
Other practice location 1
139 Centre St
Suite 602
New York, NY 10013
Phone (212) 966-5726
Other practice location 2
491 Amwell Rd Ste 204
Hillsborough, NJ 08844-8212
Phone (908) 431-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03709102 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02671600 | NJ | MD | Periodontist |
| 056838-1 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Dental Group PC | Periodontics | Current | Accepting new patients |
| Yeung's Dental Care P.C. | Past | Accepting new patients | |
| Precision Dental, PC | Past | Accepting new patients | |
| Expert Dental PC | Past | Accepting new patients | |
| Cory a. Wanatick,D.M.D.,P.a. | Periodontics | Past | Accepting new patients |
Locations
491 Amwell Rd
Ste 204
Hillsborough, NJ 08844
Phone (908) 431-0000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Hillsborough, NJ
- NPI 1235717901
-
- General Practice Dentistry
- New York, NY
- NPI 1902187438
-
- General Practice Dentistry
- New York, NY
- NPI 1497046288
-
- Periodontics
- Fort Lee, NJ
- NPI 1508924754
-
- Dental Clinic/Center
- Hillsborough, NJ
- NPI 1497938666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1093073637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 PARKER AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070247002",
"telephone_number": "201-461-4133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 40TH ST RM 104",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-682-2965"
}
],
"practiceLocations": [
{
"address_1": "139 Centre St",
"address_2": "Suite 602",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10013",
"country_code": "US",
"telephone_number": "212-966-5726",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "491 Amwell Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Hillsborough",
"state": "NJ",
"postal_code": "088448212",
"country_code": "US",
"telephone_number": "908-431-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "CHRISTINE",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "056838-1",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "22DI02671600",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03709102",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.