Individual provider Active NPI

Gary Wang, MD

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
National Provider Identifier
1053382051
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
216631-1 Issued in NY
Practice address
2121 Main St
Suite 112
Buffalo, NY 14214-2693
Phone
(716) 832-1000
Fax
(716) 832-1001
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 216631-1 NY Primary

Addresses

Primary practice location

2121 Main St
Suite 112
Buffalo, NY 14214-2693

Mailing address

2121 Main St
Suite 210 Seton BLDG
Buffalo, NY 14214-2693
Phone (716) 832-1000

Other practice location 1

4247 Maple Rd
Amherst, NY 14226-1039
Phone (716) 832-1000

Other practice location 2

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-2000

Other identifiers 1

IdentifierTypeStateIssuer
02119762MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000718 NY Practitioner - Pediatric MedicinePractitioner - HospitalistPractitioner - Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 0042292484 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hospitalist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians

Practice addresses (Care Compare)

2121 Main St
Suite 210
Buffalo, NY 14214-2671
Phone (716) 832-1000

4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-2000

900 Hertel Ave
Buffalo, NY 14216-2611
Phone (716) 871-1571

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22697NEMDLicensed Practical Nurse
216631-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Pathologists, Inc Current Accepting new patients
University at Buffalo Pediatric Associates Inc CurrentSince Oct 9, 2023 Accepting new patients
Wny Medical PC CurrentSince Apr 1, 2019 Accepting new patients
Kaleida Health CurrentSince Mar 1, 2023 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Mar 1, 2023 Accepting new patients
Maria LC Labi MD PLLC Physical Medicine & Rehabilitation PastSince Jul 1, 2011 Accepting new patients
Madonna Rehabilitation Hospital Physical Medicine & Rehabilitation Past Accepting new patients
Kaleida Health Past Accepting new patients

Locations

1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060

1001 Main St
Fl 3
Buffalo, NY 14203
Phone (716) 323-6030

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031

1001 Main St
Fl 2
Buffalo, NY 14203
Phone (716) 323-6410

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

15 Northland Ave
Buffalo, NY 14208
Phone (585) 797-5828

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

2600 S Park Ave
Lackawanna, NY 14218
Phone (716) 822-2028

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

Interoperability endpoints

  • Direct secure messaging: gwang@wnymedical.medentdirect.com

Organizations & group practices 10

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 6

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1053382051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MAIN ST",
            "address_2": "SUITE 210 SETON BLDG",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142693",
            "telephone_number": "716-832-1000",
            "fax_number": "716-832-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MAIN ST",
            "address_2": "SUITE 112",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142693",
            "telephone_number": "716-832-1000",
            "fax_number": "716-832-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4247 Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261039",
            "country_code": "US",
            "telephone_number": "716-832-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 Ellicott St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031021",
            "country_code": "US",
            "telephone_number": "716-323-2000",
            "fax_number": "716-323-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "216631-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02119762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.