Active NPI
Alice Wong
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1801991211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021357-1
- Practice address
- 263 7TH Ave Apt 2a
Brooklyn, NY 11215-3693 - Phone
- (718) 369-8000
- Fax
- (718) 369-8039
- NPI assigned
- Sep 13, 2006
- Last updated
- Nov 29, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021357-1 | NY | Primary |
Addresses
Primary practice location
263 7TH Ave Apt 2a
Brooklyn, NY 11215-3693
Mailing address
263 7TH Avenue
Suite 2a
Brooklyn, NY 11215
Phone (718) 369-8000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021357-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Neuro Rehabilitation Group PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1366624793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1801991211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 7TH AVENUE",
"address_2": "SUITE 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-369-8000",
"fax_number": "718-369-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 7TH AVE APT 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153693",
"telephone_number": "718-369-8000",
"fax_number": "718-369-8039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ALICE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021357-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.