Q. T. Wang, MD. Neurology PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

252321 Issued in NY

Legal business name

Q. T. WANG, MD. NEUROLOGY PC

Practice address

Skyview Medical Center, Suite E-08
131-07 40TH Rd
Flushing, NY 11354

Phone

(410) 227-1708

NPI assigned

Aug 1, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Qingliang Tony Wang, MD., PHDNPI 1699003418

Title

Owner/President

Phone

(410) 227-1708

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Qingliang Tony Wang, MD, PHD

  • Vascular Neurology Physician
  • Urbana, IL
  • NPI 1699003418

  NY

  Medicare reassignment NPD Authorized official
• Yangyang Hu, CNP

  • Adult Health Nurse Practitioner
  • Stow, OH
  • NPI 1013523745

  NY

  Medicare reassignment NPD
• Weijun Jin

  • Neurology Physician
  • Southaven, MS
  • NPI 1861812083

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1336663343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GATE HOUSE LN",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431012",
            "telephone_number": "410-227-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SKYVIEW MEDICAL CENTER, SUITE E-08",
            "address_2": "131-07 40TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "410-227-1708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13107 40th Rd",
            "address_2": "SKYVIEW MEDICAL CENTER, SUITE E-08",
            "address_purpose": "LOCATION",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545116",
            "country_code": "US",
            "telephone_number": "410-227-1708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "Q. T. WANG, MD. NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "QINGLIANG",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-227-1708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD., PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "252321",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "252321",
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "NY",
            "license": "252321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03295383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.