Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alvin Wong

Individual provider Plastic Surgery Physician · NPI 1104191386

Alvin Wong is a Plastic and Reconstructive Surgery in Stony Brook, New York. Qualified in 2012, 14 years ago. Practices with Stony Brook Surgical Associates University Faculty Practice Corporati, a 102-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-4289
Phone: (631) 444-2034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A127866 (CA)

Record details

NPI number1104191386
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2012
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address101 Nicolls Road, T-19 Room 085, Stony Brook, NY 11794-8191

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Stony Brook Surgical Associates University Faculty Practice Corporati — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook