Active NPI
Amy Wong, D.D.S.
- Dentist
- Garden City, NY
National Provider Identifier
1912341355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 057296
- Practice address
- 1101 Stewart Ave Ste 103
Garden City, NY 11530-4808 - Phone
- (516) 820-1228
- Fax
- (516) 631-5657
- NPI assigned
- Apr 27, 2013
- Last updated
- Jun 25, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 057296 | NY | Primary |
Addresses
Primary practice location
1101 Stewart Ave Ste 103
Garden City, NY 11530-4808
Mailing address
3811 204TH St
Bayside, NY 11361-1864
Phone (917) 378-1190
Other practice location 1
3808 Union St Ste 8D
Flushing, NY 11354-5673
Phone (718) 888-2338
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STK Dental PC | Dentist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1912341355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 204TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113611864",
"telephone_number": "917-378-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 STEWART AVE STE 103",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304808",
"telephone_number": "516-820-1228",
"fax_number": "516-631-5657"
}
],
"practiceLocations": [
{
"address_1": "3808 Union St Ste 8D",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113545673",
"country_code": "US",
"telephone_number": "718-888-2338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-27",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "057296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.