CARRIE RUBY WONG (NPI# 1801214440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801214440 |
| Entity Type | Individual |
| Full Name | CARRIE RUBY WONG |
| Credential | M.D. |
| Practice Address |
950 Campbell Avenue, 11acsl1 Va Connecticut Healthcare System West Haven CT 06516 |
| Mailing Address |
20 York Street Yale-new Haven Hospital New Haven CT 06510-3202 |
| Practice Telephone | 2036888300 |
| Mailing Telephone | 2036888300 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2015-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386956407 | Carrie Ka Lei Wong | Dentist | 3500 Lomita Boulevard, Suite 103, Torrance, CA 90505-5021 | 2010-07-06 |
| 1053367144 | Carrie Charlene Wong | Obstetrics & Gynecology | 1408 3rd St Se, 150 & 200, Puyallup, WA 98372-3702 | 2006-05-26 |
| 1962850156 | Carrie Wong | Pharmacist | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2016-05-27 |
| 1366604365 | Carrie Wong | Internal Medicine | 4650 Palm Ave, San Diego, CA 92154-8404 | 2008-06-30 |
| Street Address |
950 CAMPBELL AVENUE, 11ACSL1 VA CONNECTICUT HEALTHCARE SYSTEM |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| 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 |
|---|---|---|---|---|
| 1447747928 | Kathryn Brogan | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave Fl 4, West Haven, CT 06516-2770 | 2018-04-19 |
| 1336549336 | Cameron Todd Beck | Student in an Organized Health Care Education/Training Program | 3318 W 4150 S, West Haven, UT 84401-8604 | 2014-08-26 |
| 1982221982 | Arielle Kagan Rubenstein | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-06-25 |
| 1447875463 | Alexandra Kathryn Budd | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-06-15 |
| 1457973984 | Emily Smith | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-05-06 |
| 1497375935 | Vy Truc Ha | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-04-24 |
| 1831750207 | Friedel Daniel | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2019-06-25 |
| 1043875735 | Jessica Capri | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2019-05-08 |
| 1598329666 | Kanita Mangine | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2019-04-24 |
| 1760944136 | Joshua Robert Ouellette | Student in an Organized Health Care Education/Training Program | 950 Campbell Ave, West Haven, CT 06516-2770 | 2019-04-03 |
| Find all providers in WEST HAVEN | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on CARRIE RUBY 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.