Stephanie Man Ting Wong

Primary specialty

PharmacistTaxonomy code 183500000X

License

067614 Issued in NY

Practice address

3101 Ditmars Blvd
Astoria, NY 11105-2304

Phone

(718) 545-0128

NPI assigned

Jan 25, 2021

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1598355372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 126TH ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052304",
            "telephone_number": "718-545-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "STEPHANIE",
        "middle_name": "MAN TING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "067614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tadeusz Witkowski, MD
• Brittney Wolf, M.A.
• William Paul Wolff, D.D.S.
• Craig A Wong, L.AC.
• Joanna Wong, P.T.
• Suklin Wong
• Victoria Wong
• Winston Wong, M.D.
• Laura Wood, PH.D,
• Words at Play Speech & Language Therapy, PLLC

• Pharmacist in Astoria, NY
• Providers in Astoria, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.