Active NPI
Gary Wang, MD
- Physical Medicine & Rehabilitation Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 216631-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02119762 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22697 | NE | MD | Licensed Practical Nurse |
| 216631-1 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Pathologists, Inc | Current | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Current | Accepting new patients | |
| Wny Medical PC | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Maria LC Labi MD PLLC | Physical Medicine & Rehabilitation | Past | 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
- 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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1154421246
-
- Physical Medicine & Rehabilitation Physician
- Buffalo, NY
- NPI 1063711992
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1235155581
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
-
- Physical Medicine & Rehabilitation Physician
- Buffalo, NY
- NPI 1457794398
-
- Physical Medicine & Rehabilitation Physician
- Lincoln, NE
- NPI 1417045642
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.