Provider Demographics
NPI:1710958194
Name:TONG, HOLLINGTON YUNG (DPM)
Entity Type:Individual
Prefix:MR
First Name:HOLLINGTON
Middle Name:YUNG
Last Name:TONG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 HOLLOW BROOK RD
Mailing Address - Street 2:
Mailing Address - City:CALIFON
Mailing Address - State:NJ
Mailing Address - Zip Code:07830
Mailing Address - Country:US
Mailing Address - Phone:908-832-2043
Mailing Address - Fax:
Practice Address - Street 1:1811 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-1044
Practice Address - Country:US
Practice Address - Phone:908-665-0010
Practice Address - Fax:908-665-0510
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD00970213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1465309Medicaid
NJT0117827OtherPROVIDER #
NJ117827A7NMedicare ID - Type Unspecified
T77755Medicare UPIN