Individual provider Active NPI

Zhao Hui Wang, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1063507747
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
240727 Issued in NY
Practice address
620 60TH St FL 1
Brooklyn, NY 11220-4109
Phone
(718) 765-9180
Fax
(718) 765-9181
NPI assigned
Oct 4, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 240727 NY Primary

Addresses

Primary practice location

620 60TH St FL 1
Brooklyn, NY 11220-4109

Mailing address

370 East 76TH Street
Apt A302
New York, NY 10021-0245
Phone (718) 833-9828

Other identifiers 1

IdentifierTypeStateIssuer
240727OtherNYLICENSE

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
I20070402000479 NY Practitioner - Pediatric Medicine 0244334183 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wang's Medical P.C. CurrentSince Dec 24, 2016 Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1063507747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 EAST 76TH STREET",
            "address_2": "APT A302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210245",
            "telephone_number": "718-833-9828",
            "fax_number": "718-833-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 60TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204109",
            "telephone_number": "718-765-9180",
            "fax_number": "718-765-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ZHAO",
        "middle_name": "HUI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "240727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "240727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.