XUN GONG (NPI# 1104100643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104100643 |
| Entity Type | Individual |
| Full Name | XUN GONG |
| Credential | RPH |
| Practice Address |
134 Great East Neck Rd West Babylon NY 11704-8027 |
| Mailing Address |
14725 Northern Blvd 6s Flushing NY 11354-4344 |
| Practice Telephone | 6313213850 |
| Practice Fax Number | 6314100229 |
| Mailing Telephone | 6465775756 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0562421 | NY | Pharmacy Service Providers |
| Street Address |
134 GREAT EAST NECK RD |
| City | WEST BABYLON |
| State | NY |
| Zip Code | 11704-8027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235138165 | Paljr LLC | Skilled Nursing Facility | 134 Great East Neck Rd, West Babylon, NY 11704-8027 | 2005-07-21 |
| 1477176048 | Yendi Fenelon | Occupational Therapy Assistant | 134 Great East Neck Rd, West Babylon, NY 11704-8027 | 2020-05-18 |
| 1548896814 | Advanced Lung Care Pllc | Internal Medicine | 134 Great East Neck Rd, West Babylon, NY 11704-8027 | 2020-03-19 |
| 1811554678 | Ohebsion Medical Services PC | Internal Medicine | 134 Great East Neck Rd, West Babylon, NY 11704-8027 | 2019-05-28 |
| 1962809632 | Mills Pond Dialysis Center, LLC | Clinic/Center | 134 Great East Neck Rd, West Babylon, NY 11704-8027 | 2014-11-24 |
| 1952684656 | Dong Joo Cha | Pharmacist | 134 Great East Neck Rd, West Babylon, NY 11704-8027 | 2011-09-20 |
| 1902924343 | Larry Jay Needle | Psychologist | 134 Great East Neck Rd, West Babylon, NY 11704-8027 | 2007-03-26 |
| 1396790556 | Donald Monaco | Psychologist | 134 Great East Neck Rd, West Babylon, NY 11704-8027 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107387 | Terese Wunderlich | Massage Therapist | 555 Little E. Neck Road, West Babylon, NY 11704 | 2020-03-03 |
| 1437782604 | Pierangelie Maldonado | Licensed Practical Nurse | 140 Bond Street, West Babylon, NY 11704 | 2020-02-17 |
| 1356811947 | Chanell Smiley | Social Worker | 635 Commander Ave, West Babylon, NY 11704 | 2018-11-27 |
| 1265973960 | Elizabeth Cianchetti, Lcsw, Pllc | Social Worker | 1218 -12th St., West Babylon, NY 11704 | 2017-03-14 |
| 1689060626 | Jessica Marie Byers | Licensed Practical Nurse | 430 14th Street, West Babylon, NY 11704 | 2015-04-07 |
| 1689079741 | Barbara Hayes | Registered Nurse | 1 Farmingdale Road Route 109, Federation of Organizations, West Babyon, NY 11704 | 2014-10-30 |
| 1336541515 | Heather C Frankaitis | Massage Therapist | 555 Little East Neck Rd., Suite 3, West Babylon, NY 11704 | 2014-09-19 |
| 1922414572 | Nikki Lanclos | Counselor | 165 Fulton Street, West Babylon, NY 11704 | 2014-07-03 |
| 1699189027 | Corina Smith | Licensed Practical Nurse | 15 Mida Ct, West Babylon, NY 11704 | 2014-06-13 |
| 1528483005 | Angela Christina Albergo-roman | Counselor | One Farmingdale Road, West Babylon, NY 11704 | 2014-02-20 |
| Find all providers in zip 11704 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277051 | Yining Shao | Pharmacist | 38 Newkirt Ave, West Babylon, NY 11704-7344 | 2018-06-03 |
| 1356664593 | Michael Stephen Morris | Pharmacist | 735 Mount Ave, West Babylon, NY 11704-1700 | 2010-03-02 |
| 1558531277 | Eugene Charles Basini | Pharmacist | 1035 Straight Path, West Babylon, NY 11704-3246 | 2008-03-10 |
| 1164690624 | John Bilello | Pharmacist | 64 Route 109, West Babylon, NY 11704-6208 | 2008-02-18 |
| 1508046657 | John Didomenico | Pharmacist | 729 Sunrise Hwy, West Babylon, NY 11704-6004 | 2007-11-06 |
| 1578539631 | Mitchell Howard Miller | Pharmacist | 626 Sunrise Hwy, West Babylon, NY 11704-6011 | 2006-02-27 |
| 1063965853 | Christine Marie Digangi | Pharmacist | 204 Great East Neck Rd, West Babylon, NY 11704-7821 | 2016-07-27 |
| 1134573066 | Ashley Sandiford | Pharmacist | 204 Great East Neck Rd, West Babylon, NY 11704-7821 | 2016-04-18 |
| 1619353638 | John Guzzardi | Pharmacist | 729 Sunrise Hwy, West Babylon, NY 11704-6004 | 2015-07-31 |
| 1952684656 | Dong Joo Cha | Pharmacist | 134 Great East Neck Rd, West Babylon, NY 11704-8027 | 2011-09-20 |
| Find all providers in WEST BABYLON | ||||
| City | WEST BABYLON |
| Zip Code | 11704 |
Please comment or provide details below to improve the information on XUN GONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.