Active NPI
Evangeline Wong, AU.D.
- Audiologist
- Brooklyn, NY
National Provider Identifier
1235749946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002955
- Practice address
- 1660 E 14TH St Ste 303
Brooklyn, NY 11229-1171 - Phone
- (718) 627-2060
- NPI assigned
- Aug 6, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002955 | NY | Primary |
Addresses
Primary practice location
1660 E 14TH St Ste 303
Brooklyn, NY 11229-1171
Mailing address
1660 E 14TH St Ste 303
Brooklyn, NY 11229-1171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1235749946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 E 14TH ST STE 303",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 E 14TH ST STE 303",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291171",
"telephone_number": "718-627-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "EVANGELINE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.