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

Wai Loon Bong, PA

Individual provider Medical Physician Assistant · NPI 1184020315

Wai Loon Bong, PA is a Physician Assistant in Flushing, New York. Qualified in 2014, 12 years ago. Practices with Mark Ilyagu Medical PC, a 7-clinician group. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

14031 Cherry Ave Ste CA
Flushing, NY 11355-3169
Phone: (646) 687-2838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 018246 (NY)

Record details

NPI number1184020315
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 17, 2014
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mark Ilyagu Medical Pc — 7 clinicians
Accepts Medicare assignment Not indicated

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