NPIMap

Individual provider Active NPI

David A. Wang, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Paramus, NJ
National Provider Identifier
1447504089
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
275173 Issued in NY
Practice address
15 E Midland Ave Ste 1a
Paramus, NJ 07652-2926
Phone
(201) 599-8020
Fax
(201) 599-8022
NPI assigned
Nov 5, 2012
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A119055 CA
Sports Medicine (Family Medicine) Physician 207QS0010X 275173 NY Primary

Addresses

Primary practice location

15 E Midland Ave Ste 1a
Paramus, NJ 07652-2926

Mailing address

535 E 70TH St
Attention: David a Wang, MD
New York, NY 10021-4823
Phone (212) 606-1000

Other practice location 1

535 E 70th St
Attention: David A Wang, MD
New York, NY 10021-4823
Phone (212) 606-1000

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address dwang7358@direct.HSS.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140902000414 NY Practitioner - Sports Medicine 0345468567 Reassigns benefits to 2 organizations
I20141118001701 NJ Practitioner - Sports Medicine 0345468567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Tufts University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15 E Midland Ave
Paramus, NJ 07652-2938
Phone (201) 599-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119055CAMDFamily Medicine Physician
275173NYMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Society for the Relief of Ruptured & Crippled Maintaining CurrentSince Nov 1, 2014 Accepting new patients
New York Society for the Relief of the Ruptured and Crippled Maintaini CurrentSince Jun 1, 2015 Accepting new patients
Ny Society for the Relief of Ruptured & Crippled Maintaining CurrentSince Jan 1, 2026 Accepting new patients
Ny Society for the Relief of Ruptured & Crippled Maintaining CurrentSince Jan 1, 2026 Accepting new patients

Locations

140 E Ridgewood Ave
#175S
Paramus, NJ 07652

140 E Ridgewood Ave
Ste 175
Paramus, NJ 07652
Phone (201) 599-8000

140 E Ridgewood Ave
Ste 175S
Paramus, NJ 07652
Phone (201) 599-8000

15 E Midland Ave
Paramus, NJ 07652
Phone (201) 267-7200

15 E Midland Ave
Ste 1A
Paramus, NJ 07652
Phone (201) 599-8000

523 E 72nd St
Fl 6
New York, NY 10021
Phone (212) 606-1752

535 E 70th St
New York, NY 10021

535 E 70th St
#A
New York, NY 10021

333 Earle Ovington Blvd
Ste 106
Uniondale, NY 11553
Phone (212) 606-1136

Interoperability endpoints

  • Direct secure messaging: dwang9464@direct.hss.edu
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1447504089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "address_2": "ATTENTION: DAVID A WANG, MD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214823",
            "telephone_number": "212-606-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E MIDLAND AVE STE 1A",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522926",
            "telephone_number": "201-599-8020",
            "fax_number": "201-599-8022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 E 70th St",
            "address_2": "Attention: David A Wang, MD",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214823",
            "country_code": "US",
            "telephone_number": "212-606-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A119055",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "275173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwang7358@direct.HSS.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "address_2": "Attention: David A Wang, MD",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "address_2": "Attention: David A Wang, MD",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "address_2": "Attention: David A Wang, MD",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.