Active NPI
Alice Gong
- Social Worker
- Huntington, NY
National Provider Identifier
1669290755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 124750
- Practice address
- 22 Oakwood Rd
Huntington, NY 11743-4231 - Phone
- (718) 938-9557
- NPI assigned
- Sep 28, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 124750 | NY | Primary |
Addresses
Primary practice location
22 Oakwood Rd
Huntington, NY 11743-4231
Mailing address
138 Forest Dr
Jericho, NY 11753-2323
Phone (718) 938-9557
Other practice location 1
138 Forest Dr
Jericho, NY 11753-2323
Phone (718) 938-9557
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 |
|---|---|---|---|
| 124750 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727481600000",
"number": "1669290755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 FOREST DR",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532323",
"telephone_number": "718-938-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 OAKWOOD RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434231",
"telephone_number": "718-938-9557"
}
],
"practiceLocations": [
{
"address_1": "138 Forest Dr",
"address_purpose": "LOCATION",
"city": "Jericho",
"state": "NY",
"postal_code": "117532323",
"country_code": "US",
"telephone_number": "718-938-9557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONG",
"first_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-28",
"last_updated": "2024-09-28",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "124750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.