DR. ANTHONY LEI-ON WONG (NPI# 1821057977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821057977 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY LEI-ON WONG |
| Credential | M.D. |
| Practice Address |
994 W Jericho Tpke Suite 103 Smithtown NY 11787-3235 |
| Practice Telephone | 6318646647 |
| Practice Fax Number | 6318646001 |
| Mailing Telephone | 6318646647 |
| Mailing Fax Number | 6318646001 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2007-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 226570 | NY | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
226570 | NY | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
226570 | NY | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
226570 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902200173 | Anthony Sung Wong | Pharmacist | 430 28th Ave, San Francisco, CA 94121-1816 | 2014-10-17 |
| 1225110117 | Anthony Wong | Dentist | 3356 W Ball Rd Ste 215, Anaheim, CA 92804-3728 | 2006-10-19 |
| 1669036257 | Anthony Wong | Student in an Organized Health Care Education/Training Program | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2019-04-29 |
| 1790258101 | Anthony Wong | Behavioral Analyst | 858 E 29th St, Brooklyn, NY 11210-2927 | 2019-01-08 |
| 1205342425 | Anthony Michael Wong | Pharmacist | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2017-12-26 |
| 1518486323 | Anthony Wong | Physical Therapist | 2335 Gerritsen Ave, Brooklyn, NY 11229-5701 | 2017-09-12 |
| 1528441326 | Anthony Wong | Student in an Organized Health Care Education/Training Program | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2015-06-30 |
| 1033471362 | Anthony Wong | Pharmacist | 733 Route 72 W, Manahawkin, NJ 08050-2864 | 2012-06-12 |
| 1285991430 | Anthony C Wong | Radiology | 1600 Divisadero St Ste H1031, San Francisco, CA 94143-3010 | 2012-04-12 |
| 1225315088 | Anthony Kamseng Wong | Pharmacist | 1591 Geer Rd, Turlock, CA 95380-3200 | 2011-11-08 |
| Street Address |
994 W JERICHO TPKE SUITE 103 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677197 | Long Island Skin Cancer and Dermatologic Surgery, PC | Specialist | 994 W Jericho Tpke, Ste 103, Smithtown, NY 11787-3211 | 2005-05-30 |
| 1013402932 | Rachel Anne Demaio | Nurse Practitioner | 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 2018-06-22 |
| 1366873259 | Delta Sleep Center | Sleep Specialist, PhD | 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 2013-12-03 |
| 1184999344 | Melinda Clarke | Registered Nurse | 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 2012-03-20 |
| 1134457518 | Allison Wallshein | Registered Nurse | 994 W Jericho Tpke, Suite 202, Smithtown, NY 11787-3235 | 2009-11-24 |
| 1538302179 | Gulle Nayab Awan | Pain Medicine | 994 W Jericho Tpke, Suite 104, Smithtown, NY 11787-3235 | 2009-04-13 |
| 1245407519 | Michele A Morganstern | Psychologist | 994 W Jericho Tpke, Suite 202, Smithtown, NY 11787-3235 | 2008-05-14 |
| 1235303157 | Lloyd D. Landsman, M.d.p.c. | Plastic Surgery | 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 2008-04-22 |
| 1851595094 | Long Island Skin Cancer & Dermatologic Surgery, PC | Dermatology | 994 W Jericho Tpke, Suite 103, Smithtown, NY 11787-3235 | 2007-06-12 |
| 1508077058 | Jennifer Fidelo | Physician Assistant | 994 W Jericho Tpke, Suite 202, Smithtown, NY 11787-3235 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609103522 | Morton B Weinberg Md PC | Dermatology | 373 Route 111, Suite 10, Smithtown, NY 11787-4759 | 2009-11-13 |
| 1902959893 | Dr Donna A Serure, Dermatology & Cosmetic Laser Surgery, PC | Dermatology | 327 E Main St, Smithtown, NY 11787-2905 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225260 | Dermatology Laser and Surgery of Carnegie Hill Pllc | Dermatology | 1095 Park Ave Ste 1a, New York, NY 10128-1154 | 2019-03-20 |
| 1245651827 | Complete Skin & Laser Surgery PC | Dermatology | 225 E 64th St Fl 2, New York, NY 10065-6690 | 2013-12-26 |
| 1598043432 | Marmur Dermatology and Cardiology, Pllc | Dermatology | 12 E 87th St Suite 1a, New York, NY 10128-0501 | 2011-07-26 |
| 1427343391 | Skin Cancer and Aesthetic Surgery, P.C. | Dermatology | 2727 Ocean Pkwy, Suite L1, Brooklyn, NY 11235-7857 | 2011-06-18 |
| 1174814735 | Reason Wilken | Dermatology | 1991 Marcus Ave Ste 300, North New Hyde Park, NY 11042-2058 | 2011-04-29 |
| 1760658033 | Advanced Dermatology PC | Dermatology | 165 Roslyn Rd, Roslyn Heights, NY 11577-1315 | 2008-05-06 |
| 1255535993 | Weill Medical College of Cornell University | Dermatology | 1305 York Ave., 9th Floor, New York, NY 10021-4870 | 2007-06-14 |
| 1336291657 | Michael Jonathan Albom | Dermatology | 33 E 70th St, 1f, New York, NY 10021-4941 | 2007-01-17 |
| 1386719425 | Ronald R Brancaccio Md & Peter Saitta Do PC | Dermatology | 7901 4th Avenue, Apt A20, Brooklyn, NY 11209-3957 | 2006-11-22 |
| 1255415113 | The Center for Dermatologic Surgery of Monroe | Dermatology | 503 State Route 208, Monroe, NY 10950-1619 | 2006-10-25 |
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| 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.