Active NPI
Wenguang You, D.M.D.
- Prosthodontics
- JB MDL, NJ
National Provider Identifier
1215018494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS036687
- Practice address
- 3458 Neely Rd
JB MDL, NJ 08641-5312 - Phone
- (215) 740-7988
- NPI assigned
- Oct 17, 2006
- Last updated
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS036687 | PA | Primary |
Addresses
Primary practice location
3458 Neely Rd
JB MDL, NJ 08641-5312
Mailing address
3458 Neely Rd
JB MDL, NJ 08641-5312
Phone (215) 740-7988
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 |
|---|---|---|---|
| DS036687 | PA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1215018494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3458 NEELY RD",
"city": "JB MDL",
"state": "NJ",
"postal_code": "086415312",
"telephone_number": "215-740-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3458 NEELY RD",
"city": "JB MDL",
"state": "NJ",
"postal_code": "086415312",
"telephone_number": "215-740-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOU",
"first_name": "WENGUANG",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS036687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in JB MDL, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.