Individual provider Active NPI

Shiyu Wang, MD

  • Rheumatology Physician
  • Newark, NJ
National Provider Identifier
1245792530
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA11480400 Issued in NJ
Practice address
166 Lyons Ave
Newark, NJ 07112-2016
Phone
(973) 926-7000
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology Physician 207RR0500X 25MA11480400 NJ Primary
Internal Medicine Physician 207R00000X 25MA11480400 NJ

Addresses

Primary practice location

166 Lyons Ave
Newark, NJ 07112-2016

Mailing address

11 Cedar Rd
Watchung, NJ 07069-5916
Phone (734) 474-8717

Other practice location 1

707 S Orange Ave
South Orange, NJ 07079-2698
Phone (973) 761-6111

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
I20240724000020 NJ Practitioner - Rheumatology 1658605316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians
Avedamed LLCGroup PAC ID 8022272509, 7 clinicians

Practice addresses (Care Compare)

166 Lyons Ave
FL 2
Newark, NJ 07112-2016
Phone (973) 926-7428

2130 Millburn Ave
Suite A4
Maplewood, NJ 07040-3745
Phone (973) 761-1140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11480400NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Specialists Group, LLC CurrentSince Mar 19, 2025 Accepting new patients
Avedamed LLC Internal Medicine CurrentSince Mar 19, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jul 16, 2024 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Jul 16, 2024 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
Clinton Medical Associates PA Internal Medicine PastSince Mar 19, 2025 Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

2130 Millburn Ave
Ste A4
Maplewood, NJ 07040
Phone (973) 275-9300

166 Lyons Ave
Fl 2
Newark, NJ 07112
Phone (973) 926-4882

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

835 Clinton Ave
Newark, NJ 07108
Phone (973) 399-3323

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

707 S Orange Ave
South Orange, NJ 07079
Phone (973) 761-1140

Interoperability endpoints

  • Direct secure messaging: shiyu.wang.1@23475.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23475/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 1

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1245792530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CEDAR RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695916",
            "telephone_number": "734-474-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122016",
            "telephone_number": "973-926-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "South Orange",
            "state": "NJ",
            "postal_code": "070792698",
            "country_code": "US",
            "telephone_number": "973-761-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "SHIYU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA11480400",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11480400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.