Doctor profile · Federal record

Dr. Su-Lan Wong, NP

Adult Health Nurse Practitioner · Northport, NY

  • NPI 1104882901
  • 20 yrs on file
  • Female
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
79 Middleville RD
Northport, NY 117682200
(631) 261-4400
fax (631) 266-6030

Credentials & registration

NPPES · NUCC
NPI registered
April 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
363LA2200X — NUCC code
State license (1)
New York #F301017-1

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104882901. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$20
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Tactile Systems Technology INC 1 $20.45

By nature of payment

Food and Beverage
$20

Frequently asked questions

Auto-generated from federal data
What is Dr. Su-Lan Wong's medical specialty?
Dr. Su-Lan Wong practices Adult Health Nurse Practitioner in Northport, NY.
Where does Dr. Su-Lan Wong practice?
Dr. Su-Lan Wong practices at 79 Middleville RD, Northport, NY 117682200. Office phone: 6312614400.
What is Dr. Su-Lan Wong's NPI?
Dr. Su-Lan Wong's National Provider Identifier (NPI) is 1104882901, issued by NPPES.