Jessica Wang, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

271442 Issued in NY

Practice address

180 Cabrini Blvd
New York, NY 10033-1138

Phone

(212) 781-0400

NPI assigned

Jun 15, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jessica.wang.1@1952.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1952/brand/1/csg/1/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.

• Hudson Heights Pediatrics, PC

  • Pediatrics Physician
  • New York, NY
  • NPI 1578832556
  NPD
• Manhattan Pediatric Associates, PC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1649614611
  NPD (past)

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1194010439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CABRINI BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331138",
            "telephone_number": "122-781-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CABRINI BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331138",
            "telephone_number": "212-781-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "271442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ina Wang, OD
• Ivy X Wang, D.D.S
• Jacqueline Fang Wang
• Jennifer Wang, D.O.
• Jenny Siu Yan Wang
• Jessica Wang, NP
• Jian Wang
• Jiao Wang, M.D.
• Jiaqiong Wang, MD
• Jin Wang, DDS

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.