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DR. MAICIE M WONG MD
NPI 1922171925
Pediatrics in New York, NY

Active since November 16, 2006CLIA 33D2243095 · Waiver
16 E 79TH ST, SUITE 23, NEW YORK, NY 10075(212) 355-8100 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maicie M Wong Md NPPES

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

DR. MAICIE M WONG MD (NPI 1922171925) is an individual pediatrics provider in New York, New York, licensed in New York (2142691) and active in the NPI registry since November 2006. She holds a CLIA Waiver certificate valid through November 15, 2027.

NPPES Registry Identity

NPI1922171925
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MAICIE M WONGCredential: MD
Location Address16 E 79TH ST, SUITE 23New York, NY 10075-0150
Mailing Address16 E 79th St, Suite 23New York, NY 10075-0150 · (212) 355-8100
Phone(212) 355-8100
Sole ProprietorYes
Enumeration DateNovember 16, 2006
Last NPPES UpdateApril 5, 2016
✔ NPI 1922171925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 2142691
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
16 E 79TH ST, New York, NY 10075
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Other Identifiers 2

Medicaid02183599NY
Medicare UPINH37099

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2243095

Maicie Wong MD PC · New York, NY
Active · expires Nov 15, 2027
CLIA Number33D2243095
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorDr. Maicie M. Wong
Laboratory Phone(212) 355-8100
Laboratory LocationMaicie Wong MD PC16 East 79th St Ste 23, New York, NY 10075
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

PHYLLIS HABER
Social Worker (Clinical)
16 E 79TH ST, #35
NEW YORK, NY 10075
New York County (212) 879-5855
STEVEN LEVENKRON
Clinic/Center (Mental Health (Including Community Mental Health Center))
16 E 79TH ST
NEW YORK, NY 10075
New York County (212) 794-1956
DIANE GOLDBERG TANENBAUM MD
Dermatology
16 E 79TH ST, SUITE 22
NEW YORK, NY 10075
New York County (212) 249-6122
STEVEN LEVENKRON
Counselor (Mental Health)
16 E 79TH ST
NEW YORK, NY 10075
New York County (212) 794-1956
DR. JUDY CHANG GUMMELT PSY.D.
Psychologist (Clinical)
16 E 79TH ST, 4-1
NEW YORK, NY 10075
New York County (212) 861-4783
MOLLIE SMETANA
Social Worker (Clinical)
16 E 79TH ST
NEW YORK, NY 10075
New York County (847) 840-5248

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 Maicie Wong's NPI number?

The NPI number for Maicie Wong is 1922171925. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Maicie Wong located?

Maicie Wong practices at 16 E 79th St Suite 23, New York, NY 10075. The listed phone number is (212) 355-8100.

What is Maicie Wong's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Maicie Wong hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2243095) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maicie Wong was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.