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

Kevin Wong

Individual provider Certified Registered Nurse Anesthetist · NPI 1639577174

Kevin Wong is a Certified Registered Nurse Anesthetist (CRNA) in Manhasset, New York. Qualified in 2015, 11 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2014

Practice location Address checks out

300 Community Dr Anesthesia Dept
Manhasset, NY 11030-3816
Phone: (516) 562-0100
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 579907 (NY)

Record details

NPI number1639577174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 16, 2014
Last updated in NPPESFebruary 25, 2015
Mailing address68 S Service Rd, Suite 350, Melville, NY 11747-2354

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Manhasset