Samantha Katie Wong

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

776162 Issued in NY

Practice address

315 Hudson St FL 6
New York, NY 10013-1058

Phone

(646) 780-0260

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

No

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1528601291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7563 180TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661631",
            "telephone_number": "516-417-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HUDSON ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131058",
            "telephone_number": "646-780-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SAMANTHA",
        "middle_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "776162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S. Wong, M.D.
• Roderick Perey Wong
• Sally Wong
• Sally S Wong, M.S., R.D., C.D.N
• Samantha Wong
• Sandy Wong
• Sauying Ruth Wong
• Serena Marie Wong, M.D.
• Serre-Yu Wong, M.D., PH.D.
• Shing Kit David Wong, LCSW

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.