Individual provider Active NPI

Adam Wang, DPT

  • Physical Medicine & Rehabilitation Physician
  • Paramus, NJ
National Provider Identifier
1093213266
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40QA01766800 Issued in NJ
Practice address
1 Sears Dr Ste 305
Paramus, NJ 07652-3510
Phone
(201) 261-5220
NPI assigned
Jan 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01766800 NJ
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 40QA01766800 NJ Primary

Addresses

Primary practice location

1 Sears Dr Ste 305
Paramus, NJ 07652-3510

Mailing address

400 Riverfront Blvd Apt 406
Elmwood Park, NJ 07407-3610
Phone (856) 651-8108

Other practice location 1

400 Riverfront Blvd Apt 406
Elmwood Park, NJ 07407-3610
Phone (856) 651-8108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180226000769 NJ Practitioner - Physical Therapist in Private Practice 9133480635 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen Medical Sports and Spine, Inc.Group PAC ID 8022203033, 15 clinicians

Practice addresses (Care Compare)

1 Sears Dr
Paramus, NJ 07652-3510
Phone (201) 261-5220

35 Astoria PL
East Hanover, NJ 07936-2020
Phone (856) 651-8108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01766800NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excellent Homecare of NJ LLC Single Specialty CurrentSince May 3, 2023 Accepting new patients
Bergen Medical Sports & Spine, Inc. Single Specialty CurrentSince Jan 16, 2018 Accepting new patients
A&J Visuals LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients

Locations

1 Sears Dr
Ste 305
Paramus, NJ 07652
Phone (201) 261-5220

40 Galesi Dr
Ste 5B
Wayne, NJ 07470
Phone (973) 837-8722

Organizations & group practices 4

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": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1093213266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERFRONT BLVD APT 406",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073610",
            "telephone_number": "856-651-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEARS DR STE 305",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523510",
            "telephone_number": "201-261-5220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Riverfront Blvd Apt 406",
            "address_purpose": "LOCATION",
            "city": "Elmwood Park",
            "state": "NJ",
            "postal_code": "074073610",
            "country_code": "US",
            "telephone_number": "856-651-8108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-23",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01766800",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA01766800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.