Individual provider Active NPI

Dennis Wang, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1417585183
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
95967 Issued in GA
Practice address
1000 10TH Ave
New York, NY 10019-1147
Phone
(571) 296-1921
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 95967 GA Primary

Addresses

Primary practice location

1000 10TH Ave
New York, NY 10019-1147

Mailing address

77 12TH St NE Unit 1619
Atlanta, GA 30309-4078
Phone (571) 296-1921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230804000916 GA Practitioner - Emergency Medicine 5193186203 Reassigns benefits to 2 organizations
I20251022000705 VA Practitioner - Emergency Medicine 5193186203 Reassigns benefits to 1 organization
I20260508002855 TX Practitioner - Emergency Medicine 5193186203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Yale University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nocona Hospital DistrictGroup PAC ID 5395786180, 23 clinicians
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

100 Park Rd
Nocona, TX 76255-3616
Phone (940) 825-3235

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

Hospital & facility affiliations

  • Twin County Regional Hospital Hospital, Galax, VA, CCN 490115
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Nocona General Hospital Hospital, Nocona, TX, CCN 450641

Merit-based Incentive Payment System (MIPS)

Final score
92.02 of 100Reported as group
Quality
91.38
Improvement activities
40
Cost
79.01

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC Emergency Medicine CurrentSince Sep 10, 2023 Accepting new patients
The Emory Clinic Inc CurrentSince Sep 10, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 2, 2025 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

Interoperability endpoints

  • Direct secure messaging: dwang838621@direct.emory.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1417585183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 12TH ST NE UNIT 1619",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094078",
            "telephone_number": "571-296-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "571-296-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "95967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.