Individual provider Active NPI

Wen Ao Dana Wang, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1306287594
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
285406 Issued in NY
Practice address
274 Madison Ave RM 1501
New York, NY 10016-0701
Phone
(212) 203-1773
Fax
(646) 665-4427
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 285406 NY Primary

Addresses

Primary practice location

274 Madison Ave RM 1501
New York, NY 10016-0701

Mailing address

274 Madison Ave RM 1501
New York, NY 10016-0701
Phone (212) 203-1773

Other practice location 1

2 Burlington Woods Dr Ste 100
Burlington, MA 01803-4551
Phone (212) 203-1773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, CT, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210609001801 NY Practitioner - Psychiatry 1052726114 Reassigns benefits to 1 organization
I20231201001642 FL Practitioner - Psychiatry 1052726114 Reassigns benefits to 1 organization
I20240214002625 CT Practitioner - Psychiatry 1052726114 Reassigns benefits to 1 organization
I20240222000623 MA Practitioner - Psychiatry 1052726114 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285406NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wen Ao Dana Wang MD PLLC Psychiatry Current Accepting new patients
Rivia Medical PLLC CurrentSince Apr 23, 2023 Accepting new patients

Locations

500 Post Rd E
Ste 265
Westport, CT 06880
Phone (212) 202-1773

2125 Biscayne Blvd
Fl 3
Miami, FL 33137

2 Burlington Woods Dr
Ste 100
Burlington, MA 01803
Phone (617) 821-4923

274 Madison Ave
Rm 1501
New York, NY 10016
Phone (212) 202-1773

315 Madison Ave
Fl 3
New York, NY 10017
Phone (201) 599-9044

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1306287594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE RM 1501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160701",
            "telephone_number": "212-203-1773",
            "fax_number": "646-665-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE RM 1501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160701",
            "telephone_number": "212-203-1773",
            "fax_number": "646-665-4427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Burlington Woods Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018034551",
            "country_code": "US",
            "telephone_number": "212-203-1773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "WEN AO DANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "285406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.