Diane Wong DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

046946 Issued in NY

Legal business name

DIANE WONG DDS PLLC

Practice address

254 Canal St
Room 4008
New York, NY 10013-3501

Phone

(212) 966-3649

Fax

(212) 966-3986

NPI assigned

Nov 5, 2016

Organization subpart

No

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

Authorized official

Name

Diane Wong

Title

Owner

Phone

(646) 883-8997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1538601729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 WOODHAVEN BLVD",
            "address_2": "APT. 3G",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CANAL ST",
            "address_2": "ROOM 4008",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133501",
            "telephone_number": "212-966-3649",
            "fax_number": "212-966-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE WONG DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-05",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-883-8997"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "046946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Bartlett MD PC
• Diana Gasperoni LCSW PLLC
• Diana Health Florida 1 LLC
• Diane L. Esper
• Diane S Berson MD PLLC
• Alioune Diane, MD
• Mohamed Diane
• Francis Soriano Diano, PT
• Jessica Gonzalez Dianora, CCC-SLP
• Pavel Dianov

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.