Meylin Wong, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09106900 Issued in NJ

Practice address

112 Lonergan Dr
Suffern, NY 10901-6234

Phone

(845) 652-0806

NPI assigned

Jun 21, 2015

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1434844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1336521871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LONERGAN DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109016234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LONERGAN DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109016234",
            "telephone_number": "845-652-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MEYLIN",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-21",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09106900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Wincelberg, RN
• Robert Joshua Wind, DDS
• Tami Winner, LPN
• Sharon Ann Wisnewski, PT, MS
• Deborah Wittels, LPN
• Janelle Dernier Wood, LPN
• Rachael Worch
• June Wright, L.P.N.
• Tiffany Wu, RN
• Brianna Wyss

• Occupational Therapy Assistant in Suffern, NY
• Providers in Suffern, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.