Organization Active NPI

WL Medical PC

  • Exclusive Provider Organization
  • New York, NY
National Provider Identifier
1366626228
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
234541 Issued in NY
Legal business name
WL MEDICAL PC
Practice address
820 2ND Ave
Suite 6a
New York, NY 10017-4502
Phone
(212) 867-6681
Fax
(347) 332-1651
NPI assigned
Dec 27, 2007
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Limeng Wang, M.D.NPI 1578640645
Title
President
Phone
(212) 867-6681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 234541 NY Primary

Addresses

Primary practice location

820 2ND Ave
Suite 6a
New York, NY 10017-4502

Mailing address

820 2ND Ave
Suite 6a
New York, NY 10017-4502
Phone (212) 867-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080128000780 NY Part B Supplier - Clinic/Group Practice 8527140698 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

4405 Parsons Blvd
#1
Flushing, NY 11355
Phone (718) 521-4206

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1366626228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 2ND AVE",
            "address_2": "SUITE 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174502",
            "telephone_number": "212-867-6681",
            "fax_number": "347-332-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE",
            "address_2": "SUITE 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174502",
            "telephone_number": "212-867-6681",
            "fax_number": "347-332-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "LIMENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-867-6681",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "234541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.