Elizabeth Dy Ong, M.D.
Individual provider Active NPI Internal Medicine Physician · Newington, CT
NPI 1912929951 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912929951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MA42887 (NJ)
- Practice address
- 555 Willard Ave
Newington, CT 06111-2631 - Phone
- (860) 666-6951
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA42887 | NJ | Yes |
Addresses
Primary practice location
555 Willard Ave
Newington, CT 06111-2631
Mailing address
26 Jefferson CT
Newington, CT 06111-1922
Phone (860) 666-6951
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA42887 | Other | NJ | LICENSE |
Other providers in Newington, CT
- Temilola Odesina
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- Christopher O Ogolla
- Patrick Ogurick
- Elisabeth Oldmixon
- Bethany Ann Onofrio
- Godfred Oppong
- Orthopaedic & Neurosurgery Specialists, PLLC
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- Catherine A Orwa
All providers in Newington, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.