Qianqian Wang, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2918828 Issued in NY

Practice address

588 New Loudon Rd
Latham, NY 12110-4057

Phone

(518) 785-2662

Fax

(518) 786-6547

NPI assigned

Aug 21, 2024

Sex

Female

Sole proprietor

No

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 NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Wound Care Plus LLCGroup PAC ID 6709175912, 43 clinicians

CTP Newton Medical PCGroup PAC ID 1456339639, shared by 2 NPIs, 8 clinicians

New York State Medical Health Services PCGroup PAC ID 9739524836, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New York State Medical Health Services PC

  • Surgery Physician
  • White Plains, NY
  • NPI 1053173872
  Medicare reassignment Care Compare group NPD
• Wound Care Plus, LLC

  • Specialist
  • Saint Louis, MO
  • NPI 1841657053

  NY

  Medicare reassignment Care Compare group NPD
• CTP Newton Medical PC

  • Urgent Care Clinic/Center
  • Latham, NY
  • NPI 1801851829
  Medicare reassignment NPD
• CTP Newton Medical PC

  • Urgent Care Clinic/Center
  • Albany, NY
  • NPI 1942285804
  Medicare reassignment NPD
• Statline Medical PC

  • Internal Medicine Physician
  • Cortlandt Manor, NY
  • NPI 1942872759
  Medicare reassignment NPD
• Senf NP Family Medicine PLLC

  • Surgery Physician
  • Schaumburg, IL
  • NPI 1821702432

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1174356604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104057",
            "telephone_number": "518-785-2662",
            "fax_number": "518-786-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104057",
            "telephone_number": "518-785-2662",
            "fax_number": "518-786-6547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122054755",
            "country_code": "US",
            "telephone_number": "518-869-9692",
            "fax_number": "518-869-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "QIANQIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2918828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Jennifer Dong Waldron, PHARM.D.
• Walgreen Co
• Walgreen Co
• Susan Elizabeth Waltman, LCSW-R
• Deborah Paige Warner, N.P.
• Jenna Laine Warner, PNP
• Maryla Warszawa-Ambros, M.D.
• Julie Anne Washington, CNM
• Erica May Wasserbach, PA-C

• Family Nurse Practitioner in Latham, NY
• Providers in Latham, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.