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ROSALIE L. WONG M.D.
NPI 1992824866
Pediatrics - Adolescent Medicine in Port Jefferson Station, NY

Active since March 29, 2007
5225 NESCONSET HWY, SUITE 36, PORT JEFFERSON STATION, NY 11776(631) 928-4870(631) 928-4910 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rosalie L. Wong M.d. NPPES

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

ROSALIE L. WONG M.D. (NPI 1992824866) is an individual adolescent medicine provider in Port Jefferson Station, New York, licensed in New York (111647) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1992824866
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameROSALIE L. WONGCredential: M.D.
Location Address5225 NESCONSET HWY, SUITE 36Port Jefferson Station, NY 11776
Mailing Address5225 Nesconset Hwy, Suite 36Port Jefferson Station, NY 11776-2053 · (631) 928-4870 · Fax (631) 928-4910
Phone(631) 928-4870
Fax(631) 928-4910
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1992824866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 111647
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
5225 NESCONSET HWY, Port Jefferson Station, NY 11776
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Other Identifiers 1

Medicare UPINB77894NY

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.

MS. BERNADETTE MARIE TIMKO OTR/L
Occupational Therapist
5225 NESCONSET HWY, SUITE 30
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
MRS. YOANY TANNER OT
Occupational Therapist
5225 NESCONSET HWY, SUITE 30
PORT JEFF STA, NY 11776
Suffolk County (631) 473-4284
REINETTE MARIE CICERO OTR/L
Occupational Therapist
5225 NESCONSET HWY, SUITE 41-42
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
MRS. WAJIHA SHEIKH PT
Physical Therapist
5225 NESCONSET HWY, BUILDING 6 SUITE 30
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-2204
MS. KATHY MARIE JOHNSON OTR
Occupational Therapist
5225 NESCONSET HWY, 30
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
MRS. LORETTA D BRADY OTR L
Occupational Therapist
5225 NESCONSET HWY, SUITE 30 NEW YORK THERAPY PLACEMENT SERVICES INC
PORT JEFFERSON, NY 11776
Suffolk County (631) 473-4284
DEIDRE M POSTUPACK PT
Specialist
5225 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
DR. KUMAR MADOM MD
Pediatrics
5225 NESCONSET HWY, SUITE 35
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-3232

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 Rosalie Wong's NPI number?

The NPI number for Rosalie Wong is 1992824866. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Rosalie Wong located?

Rosalie Wong practices at 5225 Nesconset Hwy Suite 36, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-4870.

What is Rosalie Wong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Rosalie Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.