LINA MARY WONGSO LPN
NPI 1407572100
Licensed Practical Nurse in Long Island City, NY

Active since October 13, 2022
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101(718) 606-3863 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lina Mary Wongso Lpn NPPES

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

LINA MARY WONGSO LPN (NPI 1407572100) is an individual licensed practical nurse in Long Island City, New York, licensed in New York (336222-01) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1407572100
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLINA MARY WONGSOCredential: LPN
Location Address3711 QUEENS BLVDLong Island City, NY 11101-1725
Mailing Address13915 83rd Ave Apt 419Briarwood, NY 11435-1508 · (631) 507-8298
Sole ProprietorYes
Enumeration DateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
NPI 1407572100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 336222-01
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3711 QUEENS BLVD, Long Island City, NY 11101

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.

Clinic/Center
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Registered Nurse
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Licensed Practical Nurse
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Dentist (General Practice)
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Registered Nurse (Ambulatory Care)
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Registered Nurse (Ambulatory Care)
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Internal Medicine
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Licensed Practical Nurse
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101

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 Lina Wongso's NPI number?

The NPI number for Lina Wongso is 1407572100. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Where is Lina Wongso located?

Lina Wongso practices at 3711 Queens Blvd, Long Island City, NY 11101. The listed phone number is (718) 606-3863.

What is Lina Wongso's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lina Wongso was last updated on October 13, 2022. 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.