Organization Active NPI

Vincent Wang Wellness Center

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1366826786
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339834 Issued in NY
Legal business name
VINCENT WANG WELLNESS CENTER
Practice address
3916 Prince St
Ste 251
Flushing, NY 11354-5361
Phone
(718) 886-3877
Fax
(718) 886-3995
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Vincent Wang, D.O.NPI 1194737486
Title
MD
Phone
(718) 886-3877

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 339834 NY Primary

Addresses

Primary practice location

3916 Prince St
Ste 251
Flushing, NY 11354-5361

Mailing address

39-16 Prince Street
Ste 251
Flushing, NY 11354
Phone (718) 886-3877

National Provider Directory

National Provider Directory
Tax ID family
Vincent Wang Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1366826786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39-16 PRINCE STREET",
            "address_2": "STE 251",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-886-3877",
            "fax_number": "718-886-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST",
            "address_2": "STE 251",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545361",
            "telephone_number": "718-886-3877",
            "fax_number": "718-886-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT WANG WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-886-3877",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339834",
            "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 Jul 15, 2015; 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.