Active NPI
Mark Ly Wang, M.D., PH.D.
- Orthopaedic Hand Surgery Physician
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- MD439395
- Practice address
- 825 Old Lancaster Rd Ste 100
Bryn Mawr, PA 19010-3234 - Phone
- (267) 339-3558
- Fax
- (267) 339-3763
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A97865 | CA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 307138 | NY | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | ME152694 | FL | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 25MA08750000 | NJ | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD439395 | PA | Primary |
Addresses
Primary practice location
825 Old Lancaster Rd Ste 100
Bryn Mawr, PA 19010-3234
Mailing address
833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (800) 321-9999
Other practice location 1
999 Route 73 N Ste 401
Marlton, NJ 08053-1227
Phone (267) 339-3558
Other practice location 2
2 Novacare Way
NovaCare Complex
Philadelphia, PA 19145
Phone (267) 339-3558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500
999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999
Hospital & facility affiliations
- Thomas Jefferson University Hospital
- Jefferson Stratford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.57 of 100
- Quality
- 86.68
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 89.37
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.32 of 100
- Quality
- 79.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97865 | CA | MD | Orthopaedic Surgery Physician |
| ME152694 | FL | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Rothman Institute of New Jersey, P.a. | Current | Accepting new patients | |
| Reconstructive Orthopaedic Associates II LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Rothman Orthopaedics of New Jersey, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
999 Route 73 N
Ste 401
Marlton, NJ 08053
999 Route 73 N
Ste 301
Marlton, NJ 08053
3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800
27 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 527-1762
825 Old Lancaster Rd
Ste 100
Bryn Mawr, PA 19010
1118 W Baltimore Pike
Fl 3
Media, PA 19063
Phone (610) 480-6000
1 Crescent Dr
Ste 401
Philadelphia, PA 19112
833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
3 Crescent Dr
Ste 310
Philadelphia, PA 19112
Phone (267) 419-3600
833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191
400 Enterprise Dr
Fl 2
Royersford, PA 19468
Phone (267) 335-3558
Interoperability endpoints
- mark.wang@rot.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
-
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
-
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
Orthopaedic Surgery
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1043467384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 520",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074430",
"telephone_number": "800-321-9999",
"fax_number": "267-339-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 OLD LANCASTER RD STE 100",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103234",
"telephone_number": "267-339-3558",
"fax_number": "267-339-3763"
}
],
"practiceLocations": [
{
"address_1": "999 Route 73 N Ste 401",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080531227",
"country_code": "US",
"telephone_number": "267-339-3558",
"fax_number": "267-339-3763",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Novacare Way",
"address_2": "NovaCare Complex",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19145",
"country_code": "US",
"telephone_number": "267-339-3558",
"fax_number": "267-339-3763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "MARK",
"middle_name": "LY",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2022-03-14",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A97865",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NY",
"license": "307138",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "FL",
"license": "ME152694",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NJ",
"license": "25MA08750000",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "PA",
"license": "MD439395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.