Mowa LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOWA LLC

Practice address

9411 59TH Ave Ste A5
Elmhurst, NY 11373-5158

Phone

(718) 924-2555

NPI assigned

May 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Morley Wang, DDSNPI 1558611558

Title

Dentist

Phone

(917) 833-2063

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morley Wang, D.D.S

  • Dentist
  • Bayside, NY
  • NPI 1558611558
  NPD (past) Authorized official

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1164088860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 215TH PL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612209",
            "telephone_number": "917-833-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 59TH AVE STE A5",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735158",
            "telephone_number": "718-924-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MORLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-833-2063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03519275",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• MSSM(Elmhurst)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.