Active NPI
Laura A Wang, RD, CDN, CLC
- Registered Dietitian
- Flushing, NY
National Provider Identifier
1124593553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008755
- Practice address
- 4500 Parsons Blvd
Flushing, NY 11355-2205 - Phone
- (718) 670-8794
- NPI assigned
- Oct 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008755 | NY | Primary |
Addresses
Primary practice location
4500 Parsons Blvd
Flushing, NY 11355-2205
Mailing address
4500 Parsons Blvd
Food & Nutrition
Flushing, NY 11355
Phone (718) 670-8794
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1124593553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 PARSONS BLVD",
"address_2": "FOOD & NUTRITION",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-670-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PARSONS BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552205",
"telephone_number": "718-670-8794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "LAURA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RD, CDN, CLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-12",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.