Individual provider Active NPI

Vincent Yuancong Wang, D.O.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1194737486
Registry record updated Jul 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
229200 Issued in NY
Practice address
4373 Union St
Suite C-B
Flushing, NY 11355-3063
Phone
(718) 886-3877
Fax
(718) 886-3995
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229200 NY Primary

Addresses

Primary practice location

4373 Union St
Suite C-B
Flushing, NY 11355-3063

Mailing address

4373 Union St
Suite C-B
Flushing, NY 11355-3063
Phone (718) 886-3877

Other identifiers 1

IdentifierTypeStateIssuer
02641041MedicaidNY

Other names 1

  • Dr. Yuancong Wang Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000788 NY Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 4789631748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13617 39TH Ave
Suite 1a
Flushing, NY 11354-5504

13621 Roosevelt Ave
FRNT 1
Flushing, NY 11354-5507
Phone (718) 888-1808

43 -73 Union St
Suite C B
Flushing, NY 11355-3019

4373 Union St
Suite CB
Flushing, NY 11355-3017

4373 Union St
Suite CB
Flushing, NY 11355-3019
Phone (718) 883-3877

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue51
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
229200NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Yuancong Wang DO PLLC CurrentSince Mar 6, 2005 Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Vincent Wang Wellness Center PastSince Jan 1, 1990 Accepting new patients
Booth Medical Associates PC Internal Medicine Past Accepting new patients

Locations

4373 Union St
Ste Cb
Flushing, NY 11355
Phone (718) 883-3877

3916 Prince St
Ste 251
Flushing, NY 11354
Phone (718) 886-3877

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: ycwang@1079.mdlanddirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311984000000",
    "number": "1194737486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4373 UNION ST",
            "address_2": "SUITE C-B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553063",
            "telephone_number": "718-886-3877",
            "fax_number": "718-886-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 UNION ST",
            "address_2": "SUITE C-B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553063",
            "telephone_number": "718-886-3877",
            "fax_number": "718-886-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "VINCENT",
        "middle_name": "YUANCONG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02641041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUANCONG",
            "last_name": "WANG",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.