Tiffany Jiaojiao Wang, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

061009 Issued in NY

Practice address

150 55TH St
Brooklyn, NY 11220-2508

Phone

(718) 630-6875

NPI assigned

Apr 19, 2017

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Perfect Endo Corp

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
  • NPI 1356842132
  NPD
• Skyline Dental Partners PLLC

  dba Ralph Avenue Dental

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1831663202
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1144754888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345515",
            "telephone_number": "718-531-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202508",
            "telephone_number": "718-630-6875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2348 Ralph Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112345515",
            "country_code": "US",
            "telephone_number": "718-531-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "TIFFANY",
        "middle_name": "JIAOJIAO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shu-Heng Wang, PNP-AC
• Shubin Wang
• Shupin Wang, DPT
• Solomon Wang
• Tianyuan Wang, DO
• Tina Wang, PHARMD
• Ting Xuan Wang
• Vivian Wang
• Wei Wang, M.D.
• Weiqun Wang, ACUPUNCTURIST

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.