Individual provider Active NPI

Oi Lee Tiffany Wong, MSN

  • Gerontology Nurse Practitioner
  • New York, NY
National Provider Identifier
1427699057
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
F-312189-01 Issued in NY
Practice address
428 E 72ND St Ofc 500
New York, NY 10021-0600
Phone
(212) 746-2441
Fax
(646) 962-0236
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F-312189-01 NY Primary

Addresses

Primary practice location

428 E 72ND St Ofc 500
New York, NY 10021-0600

Mailing address

428 E 72ND St Ofc 500
New York, NY 10021-0600
Phone (212) 746-2441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230206001012 CT Practitioner - Nurse Practitioner 5496189052 Reassigns benefits to 1 organization
I20250326001891 NY Practitioner - Nurse Practitioner 5496189052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

428 E 72ND St
New York, NY 10021-4635
Phone (212) 746-6575

525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-2323

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F-312189-01NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince May 1, 2025 Accepting new patients
Weill Medical College of Cornell CurrentSince May 1, 2025 Accepting new patients
University of Connecticut Health Center CurrentSince Jan 13, 2023 Accepting new patients
University of Connecticut Health Center CurrentSince Jan 13, 2023 Accepting new patients
Cornell University Medical College Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

428 E 72nd St
Ofc 500
New York, NY 10021
Phone (212) 746-2344

428 E 72nd St
Ofc 400
New York, NY 10021
Phone (212) 746-2584

Networks

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

Interoperability endpoints

  • Direct secure messaging: owong382615@direct.dartmouth-hitchcock.org
  • Direct secure messaging: owong63968@direct.med.uchc.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1427699057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 72ND ST OFC 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210600",
            "telephone_number": "212-746-2441",
            "fax_number": "646-962-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 72ND ST OFC 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210600",
            "telephone_number": "212-746-2441",
            "fax_number": "646-962-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "OI LEE",
        "middle_name": "TIFFANY",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F-312189-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.