Su-Lan Wang, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00069500 Issued in NJ

Practice address

786 King George Rd
Suite 1
Fords, NJ 08863-1981

Phone

(732) 738-1115

Fax

(732) 738-4445

NPI assigned

Sep 28, 2010

Last updated

Aug 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1023327939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KEVIN RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164258",
            "telephone_number": "732-738-1115",
            "fax_number": "732-738-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 KING GEORGE RD",
            "address_2": "SUITE 1",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631981",
            "telephone_number": "732-738-1115",
            "fax_number": "732-738-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SU-LAN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00069500",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "6637713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Mila Grace Verendia, D.M.D.
• Djedlove Vital
• Walgreen Co (Rite Aid)
• Walgreen Co (Rite Aid #18081)
• Jenifer Walter
• Sidney Samantha Washington
• Craig Weinstein, DMD
• Kesha L Wiggs, MSHS
• Dawn Wirick, LPC
• Wise Choice Speech Therapy

• Acupuncturist in Fords, NJ
• Providers in Fords, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.