Individual provider Active NPI

Fang Yin Wang, RPA-C

  • Medical Physician Assistant
  • Flushing, NY
National Provider Identifier
1316103575
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
012805 Issued in NY
Practice address
13259 41St Rd
Suite 1a & 1B
Flushing, NY 11355-4257
Phone
(718) 358-3535
Fax
(718) 358-2072
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 012805 NY Primary

Addresses

Primary practice location

13259 41St Rd
Suite 1a & 1B
Flushing, NY 11355-4257

Mailing address

13259 41St Rd
Suite 1a & 1B
Flushing, NY 11355-4257
Phone (718) 358-3535

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

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1316103575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13259 41ST RD",
            "address_2": "SUITE 1A & 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554257",
            "telephone_number": "718-358-3535",
            "fax_number": "718-358-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13259 41ST RD",
            "address_2": "SUITE 1A & 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554257",
            "telephone_number": "718-358-3535",
            "fax_number": "718-358-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "FANG YIN",
        "name_prefix": "Miss",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.