Active NPI
Vivian Wong, OTR/L
- Occupational Therapist
- Long Island City, NY
National Provider Identifier
1972970945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019795
- Practice address
- 10-24 49TH Avenue
Birch Family Services Wqecc
Long Island City, NY 11101 - Phone
- (718) 786-1104
- NPI assigned
- Aug 26, 2015
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019795 | NY | Primary |
Addresses
Primary practice location
10-24 49TH Avenue
Birch Family Services Wqecc
Long Island City, NY 11101
Mailing address
10-24 49TH Avenue
Birch Family Services Wqecc
Long Island City, NY 11101
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 |
|---|---|---|---|
| Birch Family Services | Past | Accepting new patients | |
| Birch Family Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Long Island City, NY
- NPI 1275842858
-
- Community/Behavioral Health Agency
- Long Island City, NY
- NPI 1902114580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1972970945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10-24 49TH AVENUE",
"address_2": "BIRCH FAMILY SERVICES WQECC",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10-24 49TH AVENUE",
"address_2": "BIRCH FAMILY SERVICES WQECC",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11101",
"telephone_number": "718-786-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "VIVIAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-26",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.