Jacqueline Tin Wai Wong Lo

Primary specialty

SpecialistTaxonomy code 174400000X

License

519895111 Issued in NY

Practice address

18802 48TH Ave
Fresh Meadows, NY 11365-1243

Phone

(718) 746-4976

NPI assigned

Apr 23, 2013

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367107200000",
    "number": "1336583137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18802 48TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651243",
            "telephone_number": "718-746-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18802 48TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651243",
            "telephone_number": "718-746-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "JACQUELINE",
        "middle_name": "TIN WAI WONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "519895111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Meadows Early Childhood Center
• Little Optics Inc.
• Christina Liu, PHARMD
• Mingyu Liu
• Shu Chiung Liu
• David Logiudice, PHARM D.
• Felix Loh, RPA-C
• Vladimir Lokshin, M.D.
• Melissa Layne Longley, RPA-C
• Gina Maria Lopez

• Specialist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2013; 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.