Active NPI
Jeff G Wang, MD
- Reproductive Endocrinology Physician
- Greenwich, CT
National Provider Identifier
1225258338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 50428
- Practice address
- 100 Putnam GRN
Greenwich, CT 06830-6877 - Phone
- (203) 774-9900
- NPI assigned
- Apr 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 50428 | CT | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | 223458 | NY |
Addresses
Primary practice location
100 Putnam GRN
Greenwich, CT 06830-6877
Mailing address
123 W 79TH St
New York, NY 10024-6480
Phone (212) 750-3330
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50428 | CT | MD | Reproductive Endocrinology Physician |
| 223458 | NY | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Fertility Services | Reproductive Endocrinology | Current | Accepting new patients |
Locations
100 Putnam Grn
Greenwich, CT 06830
Phone (203) 774-9900
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.
-
- Reproductive Endocrinology Physician
- Greenwich, CT
- NPI 1417450644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1225258338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W 79TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246480",
"telephone_number": "212-750-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PUTNAM GRN",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306877",
"telephone_number": "203-774-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JEFF",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-30",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CT",
"license": "50428",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NY",
"license": "223458",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.