JASON WONG (NPI# 1548614092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548614092 |
| Entity Type | Individual |
| Full Name | JASON WONG |
| Credential | DMD |
| Practice Address |
3301 College Ave Davie FL 33314-7721 |
| Mailing Address |
4155 N Mount Juliet Rd Mt Juliet TN 37122-3049 |
| Practice Telephone | 6128883873 |
| Mailing Telephone | 4156949962 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
10510 | TN | Dental Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27005 76th Ave, New Hyde Park, NY 110401402 | 7184707120 | |
| 4155 N Mount Juliet Rd, Mt Juliet, TN 371223049 | 6152418023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245705805 | Jason Frank Wong | Orthotist | 8143 Gandy Dancer Way, Sacramento, CA 95823-5928 | 2018-10-10 |
| 1871031815 | Jason Wong | Pharmacist | 82-69 Parsons Blvd, Jamaica, NY 11373 | 2017-02-10 |
| 1942645528 | Jason Wong | Dentist | 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2013-05-08 |
| 1831404532 | Jason Wong | Pharmacist | 9450 Las Tunas Dr, Temple City, CA 91780-2138 | 2010-08-18 |
| 1952541229 | Jason Wong | Physical Therapist | 1540 2nd St Ste A, Santa Monica, CA 90401-2303 | 2009-02-26 |
| 1750590014 | Jason Gilbert Wong | Dentist | 721 W Whittier Blvd Ste B, La Habra, CA 90631-3771 | 2007-05-22 |
| 1114149002 | Jason M Wong | Family Medicine | 114 5th Avenue, Redwood City, CA 94063 | 2007-05-02 |
| 1821052242 | Jason H Wong | Specialist | 3711 Pacific Ave, Ste. 200, Tacoma, WA 98418-7800 | 2006-04-13 |
| 1376170449 | Jason Patrick Wong | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-03-26 |
| 1194363598 | Jason Soongjee Wong | Student in an Organized Health Care Education/Training Program | Ucsb Counseling and Psychological Services Building 599, Santa Barbara, CA 93106-0001 | 2019-12-16 |
| Street Address |
3301 COLLEGE AVE |
| City | DAVIE |
| State | FL |
| Zip Code | 33314-7721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437122025 | Jack Piermatti | Dentist | 3301 College Ave, Davie, FL 33314-7796 | 2006-02-13 |
| 1023620416 | Madison Disson | Physical Therapist | 3301 College Ave, Davie, FL 33314-7721 | 2020-08-18 |
| 1104437102 | Pallvi Goomer | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-08-12 |
| 1801405311 | Beatriz Christina Tejera | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-07-30 |
| 1972120046 | Daniel Gable | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-07-06 |
| 1891312500 | Erik Slabaugh | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-06-29 |
| 1942826979 | Aaron Hacker | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-06-25 |
| 1861015695 | Michael Ogene Bazzi | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-05-27 |
| 1497383863 | Robin Mata | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7796 | 2020-03-31 |
| 1437700937 | Marshall Darien Moini | Dentist | 3301 College Ave, Davie, FL 33314-7721 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119949 | Tiffany Allen | Case Manager/Care Coordinator | 6602 Sw 41st Street, Davie, FL 33314 | 2018-10-10 |
| 1053804047 | Shannon Stowe | Specialist/Technologist | 3160 Palm Trace Landings Dr Apt 731, Davie, FL 33314 | 2018-06-13 |
| 1700374238 | Christian D Cameron | Developmental Therapist | 5900 Sw 24th Pl Unit 203, Davie, FL 33314 | 2018-04-30 |
| 1902308836 | Infusion Nurse Experts LLC | Home Health | 4802 Sw 51st Street, Davie, FL 33314 | 2018-03-07 |
| 1134658495 | Luz Arevalo | Behavioral Analyst | 6630 Sw 41 Pl, Davie, FL 33314 | 2017-06-08 |
| 1194253815 | Migdalis Padron | Behavior Technician | 4491 Sw 52nd Ct Apt 8, Fort Lauderdale, FL 33314 | 2017-05-25 |
| 1710240833 | Victor Pabon | Adult Companion | 4828 Sw 47 Lane, Davie, FL 33314 | 2012-06-22 |
| 1437433802 | Laura Maritsa Canciani | Counselor | 6005 Stirling Road #124, Davie, FL 33314 | 2011-10-04 |
| 1770729840 | Therapeeds, Inc. | Occupational Therapist | 5951 Orange Drive, Davie, FL 33314 | 2008-12-19 |
| 1861690851 | Craig Alan Handwerker | Counselor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314 | 2007-07-11 |
| Find all providers in zip 33314 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859723 | Leslie Walker | Student in an Organized Health Care Education/Training Program | 3891 W State Road 84 Unit 303, Davie, FL 33312-8826 | 2020-10-19 |
| 1972123917 | Vipin Palukuri | Student in an Organized Health Care Education/Training Program | 19 Madrid Ln, Davie, FL 33324-5548 | 2020-04-20 |
| 1336778372 | Julie Reji Mathew | Student in an Organized Health Care Education/Training Program | 6120 Hawkes Bluff Ave, Davie, FL 33331-3416 | 2020-04-02 |
| 1144855446 | Christ Gao | Student in an Organized Health Care Education/Training Program | 7923 N Southwood Cir, Davie, FL 33328-3828 | 2020-03-06 |
| 1417580408 | Jessica M Pokryfke | Student in an Organized Health Care Education/Training Program | 6325 Robert Ln Apt E-407, Davie, FL 33314-4467 | 2020-02-18 |
| 1073144838 | Ali Edrisi | Student in an Organized Health Care Education/Training Program | 2946 S University Dr Apt 7212, Davie, FL 33328-1488 | 2020-01-30 |
| 1366080343 | Ahmed Seweid | Student in an Organized Health Care Education/Training Program | 8701 Sw 30th St Apt 207, Davie, FL 33328-1828 | 2019-12-20 |
| 1730736588 | Chris Tran | Student in an Organized Health Care Education/Training Program | 2188 Nova Village Dr, Davie, FL 33317-7011 | 2019-08-26 |
| 1497318323 | Kaitlyn Rowan | Student in an Organized Health Care Education/Training Program | 826 W Village Cir, Davie, FL 33325-4427 | 2019-04-16 |
| 1447813555 | Kate Graen | Student in an Organized Health Care Education/Training Program | 4895 Shalimar Ln Apt 11207, Davie, FL 33328-7168 | 2019-04-16 |
| Find all providers in DAVIE | ||||
Please comment or provide details below to improve the information on JASON WONG.
| 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.