Individual provider Active NPI

Emma Mingzhu Wang

  • Adult Health Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1407306152
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311528 Issued in NY
Practice address
13620 Maple Ave # C901
Flushing, NY 11355-5166
Phone
(917) 285-2780
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311528 NY Primary
Registered Nurse 163W00000X 721362 NY

Addresses

Primary practice location

13620 Maple Ave # C901
Flushing, NY 11355-5166

Mailing address

366 5TH Ave FL 4
New York, NY 10001-2241
Phone (917) 285-2780

Other practice location 1

4266 Kissena Blvd Fl 1
Flushing, NY 11355-3213
Phone (917) 285-2780

Other practice location 2

3808 Union St Ste 5A
Flushing, NY 11354-5671
Phone (718) 888-7907

Other names 1

  • Mingzhu Wang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207002902 NY Practitioner - Nurse Practitioner 8628427226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

4266 Kissena Blvd
FL 1
Flushing, NY 11355-3213
Phone (917) 285-2780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
721362NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Dec 4, 2023 Accepting new patients

Locations

2044 86th St
#1
Brooklyn, NY 11214
Phone (718) 872-7777

4266 Kissena Blvd
#1
Flushing, NY 11355
Phone (718) 333-5537

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

3808 Union St
Ste 5A
Flushing, NY 11354
Phone (718) 888-7907

168 Centre St
Fl 2
New York, NY 10013
Phone (212) 966-8286

366 5th Ave
Fl 4
New York, NY 10001
Phone (718) 290-9807

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1407306152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 5TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012241",
            "telephone_number": "917-285-2780",
            "fax_number": "917-285-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE # C901",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555166",
            "telephone_number": "917-285-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4266 Kissena Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113553213",
            "country_code": "US",
            "telephone_number": "917-285-2780",
            "fax_number": "917-285-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3808 Union St Ste 5A",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545671",
            "country_code": "US",
            "telephone_number": "718-888-7907",
            "fax_number": "718-888-1724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "EMMA",
        "middle_name": "MINGZHU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311528",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "721362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINGZHU",
            "last_name": "WANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.