Individual provider Active NPI

Chen-an Wang, DPM

  • Podiatrist
  • Flushing, NY
National Provider Identifier
1154706000
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
004486 Issued in NY
Practice address
14431 41St Ave
Apt L2
Flushing, NY 11355-1452
Phone
(718) 321-3335
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 004486 NY Primary

Addresses

Primary practice location

14431 41St Ave
Apt L2
Flushing, NY 11355-1452

Mailing address

2175 Lemoine Ave
Ste 302
Fort Lee, NJ 07024-6019
Phone (201) 944-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181101002605 NY Practitioner - Podiatry 1557614963 Reassigns benefits to 1 organization
I20181107002146 NJ Practitioner - Podiatry 1557614963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Podiatry Group PLLCGroup PAC ID 8527311166, 2 clinicians
Bergen Foot and Ankle Group LLCGroup PAC ID 4880985167, 2 clinicians

Practice addresses (Care Compare)

14431 41St Ave
Apt L2
Flushing, NY 11355-1452
Phone (718) 321-3335

2175 Lemoine Ave
Suite 302
Fort Lee, NJ 07024-6019
Phone (201) 944-4477

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Podiatry Group PLLC CurrentSince Sep 1, 2018 Accepting new patients
Bergen Foot & Ankle Group LLC CurrentSince Sep 23, 2018 Accepting new patients
Dr. Jimmy Kim Seese PastSince Sep 23, 2018 Accepting new patients

Locations

2175 Lemoine Ave
Ste 302
Fort Lee, NJ 07024
Phone (201) 944-4477

16 W 32nd St
Ste 1001
New York, NY 10001
Phone (212) 239-5559

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, 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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1154706000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 LEMOINE AVE",
            "address_2": "STE 302",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246019",
            "telephone_number": "201-944-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14431 41ST AVE",
            "address_2": "APT L2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551452",
            "telephone_number": "718-321-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHEN-AN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "004486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.