NPIMap

Organization Active NPI

Charles B. Wang Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Flushing, NY
National Provider Identifier
1407229651
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7002107R Issued in NY
Legal business name
CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.
Practice address
13743 45TH Ave
Flushing, NY 11355-4048
Phone
(929) 362-3018
Fax
(929) 362-3023
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Kaushal Challa, MBA
Title
Chief Executive Officer
Phone
(212) 379-6988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7002107R NY Primary

Addresses

Primary practice location

13743 45TH Ave
Flushing, NY 11355-4048

Mailing address

268 Canal St
New York, NY 10013-3599
Phone (212) 379-6988

Other identifiers 1

IdentifierTypeStateIssuer
00356318MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Charles B Wang Community Health Center Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

13743 45th Ave
Flushing, NY 11355
Phone (929) 362-3006

Practitioners & affiliated clinicians

Practitioners 3

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": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1407229651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133599",
            "telephone_number": "212-379-6988",
            "fax_number": "212-379-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13743 45TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554048",
            "telephone_number": "929-362-3018",
            "fax_number": "929-362-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "CHALLA",
        "authorized_official_first_name": "KAUSHAL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "212-379-6988",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7002107R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356318",
            "state": "NY"
        }
    ],
    "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 Sep 29, 2025; 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.