Kimberly Wong, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2629415 Issued in NY

Practice address

31-23 68TH St
2 Floor
Woodside, NY 11377-1224

Phone

(347) 244-6544

NPI assigned

Dec 23, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1962210971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31-23 68TH ST",
            "address_2": "2 FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771224",
            "telephone_number": "347-244-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-23 68TH ST",
            "address_2": "2 FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771224",
            "telephone_number": "347-244-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KIMBERLY",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "2629415",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "2629415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Barnwell Williams, LPN
• Elizabeth Wischnia, M.A
• Catherine Wong
• Ivy Wong, RPH, PHARMD
• Kevin Wong, MSPT,OCS, CAMT
• Winnie Wong, R.N
• Woodside Adult Daycare, Inc.
• Woodside ASC LLC
• Woodside ASC LLC
• Woodside Chemists Inc.

• Home Health Registered Nurse in Woodside, NY
• Providers in Woodside, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.