Individual provider Active NPI

Pui Yiu Corina Wong, PA

  • Physician Assistant
  • Great Neck, NY
National Provider Identifier
1518299965
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
P74127 Issued in NY
Practice address
1 Bond St
Great Neck, NY 11021-2408
Phone
(516) 858-9276
Fax
(516) 441-5882
NPI assigned
Feb 10, 2010
Last updated
Mar 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X P74127 NY Primary

Addresses

Primary practice location

1 Bond St
Great Neck, NY 11021-2408

Mailing address

1 Bond St
Great Neck, NY 11021-2408
Phone (516) 858-9276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000253 NY Practitioner - Physician Assistant 1153589775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
P74127NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1518299965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOND ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212408",
            "telephone_number": "516-858-9276",
            "fax_number": "516-441-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOND ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212408",
            "telephone_number": "516-858-9276",
            "fax_number": "516-441-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "PUI YIU",
        "middle_name": "CORINA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "P74127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.