Active NPI
Michelle A Kong
- Occupational Therapist
- New York, NY
National Provider Identifier
1487519872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 30794
- Practice address
- 136 Madison Ave FL 5
New York, NY 10016-6796 - Phone
- (646) 374-8277
- NPI assigned
- Dec 18, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01272900 | NJ | |
| Occupational Therapist | 225X00000X | 30794 | NY | Primary |
Addresses
Primary practice location
136 Madison Ave FL 5
New York, NY 10016-6796
Mailing address
20 Whitehall Ave
Edison, NJ 08820-2622
Phone (732) 710-9926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01272900 | NJ | MD | Occupational Therapist |
| 30794 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1487519872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WHITEHALL AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202622",
"telephone_number": "732-710-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 MADISON AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166796",
"telephone_number": "646-374-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "MICHELLE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01272900",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "30794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.