Catherine Wong

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

006735-1 Issued in NY

Practice address

4610 61St St
Apt 11B
Woodside, NY 11377-5766

Phone

(646) 301-5633

NPI assigned

Apr 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1477908424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 61ST ST",
            "address_2": "APT 11B",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775766",
            "telephone_number": "646-301-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 61ST ST",
            "address_2": "APT 11B",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775766",
            "telephone_number": "646-301-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "006735-1",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "006735-1",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006735-1",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NY",
            "license": "006735-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebus Widjaja, LMSW
• Rashini Rumesha Wijesinghe Kannangara, DPM
• Edward A Williams, NURSE PRACTITIONER
• Latoya Barnwell Williams, LPN
• Elizabeth Wischnia, M.A
• Ivy Wong, RPH, PHARMD
• Kevin Wong, MSPT,OCS, CAMT
• Kimberly Wong, RN
• Winnie Wong, R.N
• Woodside Adult Daycare, Inc.

• Registered Dietitian in Woodside, NY
• Providers in Woodside, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.