Individual provider Active NPI

Fei Wang, M.D.

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1093794828
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226707 Issued in NY
Practice address
13235 41St Rd
Suite 2C
Flushing, NY 11355-4113
Phone
(718) 886-1080
Fax
(718) 886-1081
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 226707 NY Primary
Nuclear Medicine Physician 207U00000X 226707 NY
General Practice Physician 208D00000X 226707 NY

Addresses

Primary practice location

13235 41St Rd
Suite 2C
Flushing, NY 11355-4113

Mailing address

13235 41St Rd
Suite 2C
Flushing, NY 11355-4113
Phone (718) 886-1080

Other identifiers 1

IdentifierTypeStateIssuer
02357959MedicaidNY

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
I20050202000056 NY Practitioner - Family Practice 5294785077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226707NYMDNuclear Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1093794828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13235 41ST RD",
            "address_2": "SUITE 2C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554113",
            "telephone_number": "718-886-1080",
            "fax_number": "718-886-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13235 41ST RD",
            "address_2": "SUITE 2C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554113",
            "telephone_number": "718-886-1080",
            "fax_number": "718-886-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "FEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226707",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "226707",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "226707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02357959",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.