Individual provider Active NPI

Charles K Lwang, RN

  • Registered Nurse
  • Lynn, MA
National Provider Identifier
1447585658
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2262126 Issued in MA
Practice address
28 Nottingham CT
Apt 509
Lynn, MA 01905-3131
Phone
(617) 642-9006
NPI assigned
Oct 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2262126 MA Primary
Licensed Practical Nurse 164W00000X 014846-22 NH

Addresses

Primary practice location

28 Nottingham CT
Apt 509
Lynn, MA 01905-3131

Mailing address

28 Nottingham CT
Apt 509
Lynn, MA 01905-3131
Phone (617) 642-9006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2262126MAMDRegistered Nurse
014846-22NHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1447585658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NOTTINGHAM CT",
            "address_2": "APT 509",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019053131",
            "telephone_number": "617-642-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 NOTTINGHAM CT",
            "address_2": "APT 509",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019053131",
            "telephone_number": "617-642-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LWANG",
        "first_name": "CHARLES",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2262126",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NH",
            "license": "014846-22",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.