1. Home
  2. Directory
  3. New York
  4. Stony Brook
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

FRED GONG
NPI 1215635826
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since February 22, 2023
101 NICOLLS RD, STONY BROOK, NY 11794(631) 638-2698 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fred Gong NPPES

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

FRED GONG (NPI 1215635826) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1215635826
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFRED GONG
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 638-2698
Phone(631) 638-2698
Sole ProprietorNo
Enumeration DateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
✔ NPI 1215635826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICOLLS RD, Stony Brook, NY 11794
Open in Google Maps ↗

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.

NARINDER SINGH M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 Fred Gong's NPI number?

The NPI number for Fred Gong is 1215635826. It was assigned to this individual provider in the NPPES registry on February 22, 2023.

Where is Fred Gong located?

Fred Gong practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 638-2698.

What is Fred Gong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Fred Gong was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.