Individual provider Active NPI

Andrea S. Wang, M.D.

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1114188182
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
256477 Issued in NY
Practice address
2315 Broadway
3Rd FL
New York, NY 10024-4332
Phone
(646) 962-3681
NPI assigned
Jun 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 256477 NY Primary

Addresses

Primary practice location

2315 Broadway
3Rd FL
New York, NY 10024-4332

Mailing address

111 W 67TH St
20E
New York, NY 10023-5956

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
I20130815000295 NY Practitioner - Otolaryngology 9537301866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Georgetown University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

1305 York Ave
Suite 5
New York, NY 10021-5663
Phone (646) 962-4710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256477NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Otolaryngology CurrentSince Jul 29, 2013 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 29, 2013 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

2315 Broadway
Frnt 3
New York, NY 10024
Phone (646) 962-5277

1305 York Ave
Fl 5
New York, NY 10021
Phone (646) 962-2231

1305 York Ave
#5
New York, NY 10021
Phone (212) 746-2281

2315 Broadway
Fl 3
New York, NY 10024
Phone (646) 962-2842

Networks

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

Interoperability endpoints

  • Direct secure messaging: anw2018@direct.nyp.org

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 5

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": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1114188182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 67TH ST",
            "address_2": "20E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 BROADWAY",
            "address_2": "3RD FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244332",
            "telephone_number": "646-962-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ANDREA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "256477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.