Healthcare Provider Details

I. General information

NPI: 1447887039
Provider Name (Legal Business Name): NICHOLAS GEE TONG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27005 76TH AVE
NEW HYDE PARK NY
11040-1402
US

IV. Provider business mailing address

140 OLD COUNTRY RD APT 448
MINEOLA NY
11501-4332
US

V. Phone/Fax

Practice location:
  • Phone: 201-321-6500
  • Fax:
Mailing address:
  • Phone: 201-321-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number327128-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: