- Practice location
- 1752 Park Ave, New York, NY 10035-2811
- Phone
- 646-686-0000
- Fax
- —
- Last updated
- September 30, 2025
Wyatt Luong is a Dietitian, Registered based in New York, NY. Wyatt Luong practices in New York, NY. The NPI Number for Wyatt Luong is 1821809419 and holds a License No. 86373769 (NY). The current practice location address for Wyatt Luong is 1752 Park Ave, New York, NY 10035-2811 and can be reached out via phone at 646-686-0000.
Provider Profile Details
- NPI Number
- 1821809419
- Provider Name
- Wyatt Luong
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1752 Park Ave, New York, NY 10035-2811
- Phone Number
- 646-686-0000
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 14, 2025
- Last Update Date
- September 30, 2025
- Certification Date
- September 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1752 Park Ave
New York, NY 10035-2811 - City
- New York
- State
- New York
- Zip
- 10035-2811
- Phone Number
- 646-686-0000
Provider Business Mailing Address Details
- Address
- 415 Grand St Apt 506
New York, NY 10002-4760 - City
- New York
- State
- NY
- Zip
- 10002-4760
License Information
- License Number
- 86373769
- License State
- NY
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wyatt Luong?
The NPI number of Wyatt Luong is 1821809419. It was assigned on January 14, 2025 and is currently active in the NPPES registry.
What is the specialty of Wyatt Luong?
Wyatt Luong is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 86373769.
Where does Wyatt Luong practice?
The practice location is 1752 Park Ave, New York, NY 10035-2811. The office can be reached at 646-686-0000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821809419 directly on the NPPES registry website.