Andy Yu-Der Wang

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

129 Franklin St Apt 428
Cambridge, MA 02139-4193

Phone

(617) 373-0791

NPI assigned

Aug 13, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1255069563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FRANKLIN ST APT 428",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394193",
            "telephone_number": "617-373-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FRANKLIN ST APT 428",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394193",
            "telephone_number": "617-373-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ANDY",
        "middle_name": "YU-DER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-13",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Walsh, R.PH.
• Ryan Christopher Walsh
• Kara Alexis Waltman
• Elisa Walts, LICSW
• Melissa Wan, MD, MPH
• Charis Emily Wang
• Eric Wang
• Haohao Wang, DDS
• Jianfeng Wang, M.D.
• Jianxun Wang, MD

• Student in an Organized Health Care Education/Training Program in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.