Wai Loon Bong, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

018246 Issued in NY

Practice address

14031 Cherry Ave Ste Ca
Flushing, NY 11355-3169

Phone

(646) 687-2838

NPI assigned

Nov 17, 2014

Last updated

May 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Mark Ilyagu Medical PCGroup PAC ID 6800272477, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Ilyagu Medical PC

  • Internal Medicine Physician
  • Valley Stream, NY
  • NPI 1619699915
  Medicare reassignment Care Compare group NPD
• East Summit Medical PC

  • Gastroenterology Physician
  • New York, NY
  • NPI 1093371742
  Medicare reassignment NPD
• Ilyagu Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1730859935
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1184020315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14031 CHERRY AVE STE CA",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553169",
            "telephone_number": "646-687-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 CHERRY AVE STE CA",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553169",
            "telephone_number": "646-687-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONG",
        "first_name": "WAI",
        "middle_name": "LOON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "018246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sze Wan Bok, AUD
• Bokyung Kim LCSW, PLLC (Rooted with Bokyung LCSW, PLLC)
• Boling Pharmacy Inc
• Chantelle Bombardier
• Si M Bong
• Cassandra Bonilla
• Alexis Bonner, FNP-BC
• Marie Regine Bony Normil
• Booth Medical Associates PC
• Booth Memorial Avenue Drugs Inc (booth memorial pharmacy)

• Medical Physician Assistant in Flushing, NY
• Providers in Flushing, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.