Aileen Gong, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004596L Issued in PA

Practice address

926 Arch St
1 St Floor
Philadelphia, PA 19107-3107

Phone

(267) 232-0564

Fax

(610) 270-0508

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548310899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 WINDING WAY",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062633",
            "telephone_number": "610-272-8839",
            "fax_number": "610-270-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 ARCH ST",
            "address_2": "1 ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073107",
            "telephone_number": "267-232-0564",
            "fax_number": "610-270-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "AILEEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004596L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ydelis Gomez
• Toshihito Gomibuchi, MD, PHD
• Leslie Ann Gonce, CRNP
• David Paul Goneau, LPC
• Michele Lora Gonen, PHD
• Grace Gong
• Jerald Z Gong, M.D.
• Yulan Gong, M.D.
• Shivsai Gongalla, MD
• Luis Alberto Gongora

• Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.