Individual provider Active NPI

Wai Fung Ngan

  • Acupuncturist
  • Jackson Heights, NY
National Provider Identifier
1124503784
Registry record updated Sep 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006085 Issued in NY
Practice address
7216 Roosevelt Ave # 2R
Jackson Heights, NY 11372-6335
Phone
(347) 808-8033
NPI assigned
Sep 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006085 NY Primary

Addresses

Primary practice location

7216 Roosevelt Ave # 2R
Jackson Heights, NY 11372-6335

Mailing address

8757 17TH Ave FL 1
Brooklyn, NY 11214-4546
Phone (646) 925-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006085NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Lotus Acupuncture PC Acupuncturist CurrentSince Nov 6, 2022 Accepting new patients
Rising Lotus Acupuncture Acupuncturist Current Accepting new patients
QK Acupuncture PC Acupuncturist PastSince May 24, 2020 Accepting new patients
Enlightenment Wellness Corp PastSince Mar 7, 2021 Accepting new patients

Locations

7216 Roosevelt Ave
#2R
Jackson Heights, NY 11372
Phone (347) 808-8033

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, 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": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538265600000",
    "number": "1124503784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 17TH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144546",
            "telephone_number": "646-925-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7216 ROOSEVELT AVE # 2R",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726335",
            "telephone_number": "347-808-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGAN",
        "first_name": "WAI FUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-30",
        "last_updated": "2018-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.