Aijuan Wang Medicine PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

AIJUAN WANG MEDICINE PLLC

Practice address

228 Beach 20TH St
Far Rockaway, NY 11691-3618

Phone

(833) 424-4357

NPI assigned

Feb 8, 2023

Organization subpart

No

Name

Mrs. Irena Musheev, HR

Title

Human Resources Director

Phone

(718) 350-5680

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2023.

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1053018374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY STE 500",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913618",
            "telephone_number": "833-424-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIJUAN WANG MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "MUSHEEV",
        "authorized_official_first_name": "IRENA",
        "authorized_official_title_or_position": "HUMAN RESOURCES DIRECTOR",
        "authorized_official_telephone_number": "718-350-5680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HR"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Far Rockaway, NY
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.