Provider Demographics
NPI:1538974563
Name:ONG, PATRICK LESTER DY
Entity type:Individual
Prefix:
First Name:PATRICK LESTER
Middle Name:DY
Last Name:ONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 LIVINGSTON RD STE 102
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4975
Mailing Address - Country:US
Mailing Address - Phone:201-912-0006
Mailing Address - Fax:
Practice Address - Street 1:9550 LIVINGSTON RD STE 102
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4975
Practice Address - Country:US
Practice Address - Phone:240-253-6312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR271503363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner