Provider Demographics
NPI:1396707295
Name:ONG, YAO CHENG (MD)
Entity type:Individual
Prefix:DR
First Name:YAO CHENG
Middle Name:
Last Name:ONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4712 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-1039
Mailing Address - Country:US
Mailing Address - Phone:727-841-4687
Mailing Address - Fax:727-841-4656
Practice Address - Street 1:5542 HIGH ST
Practice Address - Street 2:SUITE C
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4026
Practice Address - Country:US
Practice Address - Phone:727-842-4848
Practice Address - Fax:727-842-9513
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME52118207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME52118OtherFL MEDICAL LICENSE #
AO9428500OtherDEA REGISTRATION #
FLME52118OtherFL MEDICAL LICENSE #