Individual provider Active NPI

Howard Hao Wang, DDS, MBA, MPH, MS

  • Endodontics
  • Forest Hills, NY
National Provider Identifier
1083096986
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
058702 Issued in NY
Practice address
10737 71St Ave Ste 4
Forest Hills, NY 11375-4757
Phone
(718) 263-0423
NPI assigned
Jun 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 058702 NY Primary
Periodontics 1223P0300X 058702 NY

Addresses

Primary practice location

10737 71St Ave Ste 4
Forest Hills, NY 11375-4757

Mailing address

10737 71St Ave Ste 4
Forest Hills, NY 11375-4757
Phone (718) 263-0423

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017001170 NY Practitioner - Dentist 7618266214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
11399CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kim & Wang DDS PLLC Endodontics Current Accepting new patients
Howard H. Wang, D.D.S. P.C. Endodontics Current Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Nov 1, 2019 Accepting new patients

Locations

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

Interoperability endpoints

  • Direct secure messaging: hwang1239866@nychhc.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1083096986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10737 71ST AVE STE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754757",
            "telephone_number": "718-263-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 71ST AVE STE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754757",
            "telephone_number": "718-263-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HOWARD",
        "middle_name": "HAO",
        "name_prefix": "Dr.",
        "credential": "DDS, MBA, MPH, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "058702",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "058702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.