Individual provider Active NPI

Wang Y Mak, MD

  • Allergy & Immunology Physician
  • Scarsdale, NY
National Provider Identifier
1053392514
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2313521 Issued in NY
Practice address
455 Central Park Ave
Suite 207
Scarsdale, NY 10583-1060
Phone
(914) 574-5720
Fax
(914) 574-5723
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2313521 NY Primary

Addresses

Primary practice location

455 Central Park Ave
Suite 207
Scarsdale, NY 10583-1060

Mailing address

455 Central Park Ave
Suite 207
Scarsdale, NY 10583-1060
Phone (914) 574-5720

Other practice location 1

355 W 52nd St
New York, NY 10019-6239
Phone (646) 754-2900

Other identifiers 1

IdentifierTypeStateIssuer
02667494MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wmak43839@nyumc.direct-ci.com

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
I20050907001203 NY Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6406888700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

355 W 52ND St
New York, NY 10019-6239
Phone (646) 778-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2313521NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 1, 2015 Accepting new patients
New York University CurrentSince Jul 1, 2015 Accepting new patients
Hudson Valley Neurosurgical Associates, LLC PastSince Oct 1, 2016 Accepting new patients

Locations

55 E 55th St
New York, NY 10022
Phone (212) 750-9095

355 W 52nd St
New York, NY 10019
Phone (646) 754-2100

Organizations & group practices 3

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 7

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1053392514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE",
            "address_2": "SUITE 207",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831060",
            "telephone_number": "914-574-5720",
            "fax_number": "914-574-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE",
            "address_2": "SUITE 207",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831060",
            "telephone_number": "914-574-5720",
            "fax_number": "914-574-5723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 W 52nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100196239",
            "country_code": "US",
            "telephone_number": "646-754-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAK",
        "first_name": "WANG",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "2313521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02667494",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmak43839@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "355 W 52nd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100196239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.