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

Mr. Jonathan Wong, NP

Individual provider Licensed Practical Nurse · NPI 1588903264

Mr. Jonathan Wong, NP is a Nurse Practitioner in Staten Island, New York. Qualified in 2020, 6 years ago. Practices with Maimonides Faculty Practice Plan, a 246-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

49 Carnegie Ave
Staten Island, NY 10314-3819
Phone: (347) 513-1676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Colfax Ave, Staten Island, NY 10306-3306 — (347) 522-2512
  • 49 Carnegie Ave, Staten Island, NY 10314-3819 — (347) 513-1676

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 310033 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 302155 (NY)

Record details

NPI number1588903264
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 31, 2013
Last updated in NPPESDecember 3, 2020
Certification dateOctober 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Maimonides Faculty Practice Plan — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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