Active NPI
Benajamin Wang, LMSW
- Social Worker
- Howard Beach, NY
National Provider Identifier
1205527744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119606-01
- Practice address
- 15628 Crossbay Blvd
Howard Beach, NY 11414-2745 - Phone
- (929) 253-9341
- NPI assigned
- May 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 119606-01 | NY | Primary |
Addresses
Primary practice location
15628 Crossbay Blvd
Howard Beach, NY 11414-2745
Mailing address
17513 Jewel Ave
Flushing, NY 11365-3427
Phone (929) 253-9341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119606-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1205527744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17513 JEWEL AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113653427",
"telephone_number": "929-253-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15628 CROSSBAY BLVD",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114142745",
"telephone_number": "929-253-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "BENAJAMIN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-16",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "119606-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howard Beach, NY
- Vitreoretinal & Uveitis Services, PC
- Vitroretinal and Uveitis Services
- Waldbaum Inc (Waldbaums Pharmacy)
- Walgreen Co (Walgreens #17680)
- Walgreen Co (Walgreens #17979)
- Roxanne Nicole Warrick-Bazzey, OTA
- We Care Walk-in Medical Services, P.C.
- Debra Weinstock, D.P.M
- Casey Weiser, MD
- Jeffrey Ira Weissman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.