Individual provider Active NPI

Philip S Wang, D.C.

  • Chiropractor
  • Flushing, NY
National Provider Identifier
1386700672
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009628 Issued in NY
Practice address
13235 41St Rd
Apt 2D
Flushing, NY 11355-4115
Phone
(718) 461-5900
Fax
(718) 461-4833
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009628 NY Primary

Addresses

Primary practice location

13235 41St Rd
Apt 2D
Flushing, NY 11355-4115

Mailing address

13235 41St Rd
Apt 2D
Flushing, NY 11355-4115
Phone (718) 461-5900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009628NYMDChiropractor
009628NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Olivares Physical Therapy, PC Past Accepting new patients
United Wellness Medical, P.C. Past Accepting new patients
Coordination Physical Therapy PC PastSince Mar 24, 2025 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1386700672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13235 41ST RD",
            "address_2": "APT 2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554115",
            "telephone_number": "718-461-5900",
            "fax_number": "718-461-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13235 41ST RD",
            "address_2": "APT 2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554115",
            "telephone_number": "718-461-5900",
            "fax_number": "718-461-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "PHILIP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009628",
            "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 May 3, 2018; 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.