Active NPI
Tony Wong, LMSW
- Community/Behavioral Health Agency
- New York, NY
National Provider Identifier
1598308983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 062248-1
- Practice address
- 184 Eldridge St
New York, NY 10002-2924 - Phone
- (917) 535-5706
- NPI assigned
- Oct 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 062248-1 | NY | Primary |
Addresses
Primary practice location
184 Eldridge St
New York, NY 10002-2924
Mailing address
82 Rutgers Slip 20B
New York, NY 10002
Phone (917) 535-5706
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 |
|---|---|---|---|
| 062248-1 | NY | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1598308983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 RUTGERS SLIP 20B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10002",
"telephone_number": "917-535-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 ELDRIDGE ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100022924",
"telephone_number": "917-535-5706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "TONY",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-18",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "062248-1",
"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 Oct 18, 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.