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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SU-LAN WONG NP
NPI 1104882901
Nurse Practitioner - Adult Health in Northport, NY

Active since April 21, 2006
79 MIDDLEVILLE RD, NORTHPORT, NY 11768(631) 261-4400(631) 266-6030 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Su-lan Wong Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SU-LAN WONG NP (NPI 1104882901) is an individual adult health provider in Northport, New York, licensed in New York (F301017-1) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1104882901
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSU-LAN WONGCredential: NP
Location Address79 MIDDLEVILLE RDNorthport, NY 11768-2200
Mailing Address79 Middleville RdNorthport, NY 11768-2200 · (631) 261-4400 · Fax (631) 266-6030
Phone(631) 261-4400
Fax(631) 266-6030
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1104882901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F301017-1
79 MIDDLEVILLE RD, Northport, NY 11768
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERI MARIE PINELLI LMSW
Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
JEANINE MICHELE DELGADO LCSW
Social Worker (Clinical)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
NELSON BARCELON MD
Anesthesiology
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
VAMC
General Acute Care Hospital
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
MS. SANDRA PAIGE SCHLESINGER LCSW-R
Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
RICHARD THOMESEN NP
Nurse Practitioner (Psychiatric/Mental Health)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
MR. JOSEPH LAWRENCE MAGLIULO
Pharmacist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400
ANNE LETITIA GUTTING OTR MACHT
Occupational Therapist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Suffolk County (631) 261-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Su-lan Wong's NPI number?

The NPI number for Su-lan Wong is 1104882901. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Su-lan Wong located?

Su-lan Wong practices at 79 Middleville Rd, Northport, NY 11768. The listed phone number is (631) 261-4400.

What is Su-lan Wong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Su-lan Wong was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.