Jacqueline Marcy Wenger, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

023692 Issued in NY

Practice address

515 Madison Ave RM 3303
New York, NY 10022-5415

Phone

(212) 751-1333

NPI assigned

Nov 11, 2024

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midtown Dental Wellness

  • Dentist
  • New York, NY
  • NPI 1669240594
  NPD
• Madison Avenue Dental Care PLLC

  • Dental Clinic/Center
  • New York, NY
  • NPI 1326498734
  NPD (past)

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1336963990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 67TH DR APT LA",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752822",
            "telephone_number": "718-208-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE RM 3303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225415",
            "telephone_number": "212-751-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 Broadway Ste 350",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100039616",
            "country_code": "US",
            "telephone_number": "212-443-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENGER",
        "first_name": "JACQUELINE",
        "middle_name": "MARCY",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "023692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky Weng, LMSW
• Shannon Weng
• Shicheng Weng
• Weng's Group Ny, Inc (ADJ Wisdom Home Care)
• Weng's Group Ny, Inc (ADJ Wisdom Home Care)
• Judith Wenger, M.D.
• Justine Wenger
• Katherine Wenger
• Maria Liza Wenger, N.P.
• Brian Wengerter, M.D.

• Dental Hygienist in New York, NY
• Providers in New York, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.