Individual provider Active NPI

Mark Ly Wang, M.D., PH.D.

  • Orthopaedic Hand Surgery Physician
  • Bryn Mawr, PA
National Provider Identifier
1043467384
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
MD439395 Issued in PA
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

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111017000172 PA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 4284806209 Reassigns benefits to 1 organization
I20121109000502 NJ Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 4284806209 Reassigns benefits to 1 organization

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
Reconstructive Orthopaedic Associates II LLCGroup PAC ID 7416845318, 274 clinicians
Rothman Orthopaedics of New Jersey, LLCGroup PAC ID 6709864846, 175 clinicians

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 Hospital, Philadelphia, PA, CCN 390174
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A97865CAMDOrthopaedic Surgery Physician
ME152694FLMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery CurrentSince Aug 1, 2012 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Oct 1, 2012 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery CurrentSince Aug 1, 2012 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC Orthopaedic Surgery CurrentSince Oct 1, 2012 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.