Individual provider Active NPI

Belle Wang, M.D.

  • Gynecology Physician
  • Emerson, NJ
National Provider Identifier
1194790550
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MA59743 Issued in NJ
Practice address
466 Old Hook Rd Ste 16
Emerson, NJ 07630-1368
Phone
(201) 391-5443
Fax
(201) 391-8019
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MA59743 NJ Primary

Addresses

Primary practice location

466 Old Hook Rd Ste 16
Emerson, NJ 07630-1368

Mailing address

466 Old Hook Rd Ste 16
Emerson, NJ 07630-1368
Phone (201) 391-5443

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address belle.wang@direct.lifelinemedicalassoc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050720000893 NJ Practitioner - Obstetrics/Gynecology 1355387671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935

466 Old Hook Rd
Suite 16
Emerson, NJ 07630-1368
Phone (201) 391-5443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA59743NJMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC CurrentSince Aug 1, 2005 Accepting new patients

Locations

200 Closter Dock Rd
Closter, NJ 07624
Phone (201) 768-3900

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

466 Old Hook Rd
Ste 16
Emerson, NJ 07630
Phone (201) 391-5443

21 Philips Pkwy
Montvale, NJ 07645
Phone (201) 573-0200

680 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 225-0100

99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: belle.wang.1@27010.direct.athenahealth.com
  • Direct secure messaging: bwang190353@ahs.direct-ci.com

Organizations & group practices 1

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 7

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1194790550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD STE 16",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301368",
            "telephone_number": "201-391-5443",
            "fax_number": "201-391-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD STE 16",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301368",
            "telephone_number": "201-391-5443",
            "fax_number": "201-391-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "BELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "MA59743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "belle.wang@direct.lifelinemedicalassoc.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "OBGYN ASSOCIATES OF BERGEN COUNTY / LMA",
            "address_1": "466 Old Hook Rd Ste 16",
            "city": "Emerson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076301368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

Verify at the official NPI Registry.