Woodside ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WOODSIDE ASC LLC

Practice address

69-28 Queens Boulevard
Woodside, NY 11377

Phone

(718) 309-8675

Fax

(718) 400-8515

NPI assigned

Nov 28, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Chuan Sheng Wang, M.D

Title

President

Phone

(646) 286-6921

Specialties & licenses 1

Addresses

Tax ID family

Woodside ASC LLC2 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.

• Woodside ASC LLC

  • Gastroenterology Physician
  • Woodside, NY
  • NPI 1629948385
  NPD tax ID

Locations

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

{
    "created_epoch": "1764288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1427910447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "address_2": "APT 715",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10044",
            "telephone_number": "646-286-6921",
            "fax_number": "718-400-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69-28 QUEENS BOULEVARD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-309-8675",
            "fax_number": "718-400-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-28",
        "last_updated": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHUAN SHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-286-6921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Wong, RPH, PHARMD
• Kevin Wong, MSPT,OCS, CAMT
• Kimberly Wong, RN
• Winnie Wong, R.N
• Woodside Adult Daycare, Inc.
• Woodside ASC LLC
• Woodside Chemists Inc.
• Woodside Corner RX Inc
• Woodside Dental Center P.C.
• Woodside Eye Care Inc

• Ambulatory Surgical Clinic/Center in Woodside, NY
• Providers in Woodside, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.