Active NPI
Grace Wang NP in Family Health P.C.
- Family Nurse Practitioner
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- GRACE WANG NP IN FAMILY HEALTH P.C.
- Practice address
- 98120 Queens Blvd Ste 1C
Rego Park, NY 11374-4414 - Phone
- (347) 436-8335
- Fax
- (347) 236-3161
- NPI assigned
- Jun 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Wang, DNP
- Title
- Owner
- Phone
- (917) 855-7467
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
98120 Queens Blvd Ste 1C
Rego Park, NY 11374-4414
Mailing address
17020 Crocheron Ave Apt 106
Flushing, NY 11358-2268
Other practice location 1
6475 Austin St Apt M1
Rego Park, NY 11374-4195
Phone (347) 436-8335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2288945 | Grace Wang NP in Family Health PC | Certificate of waiver | Aug 31, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Rego Park, NY
- NPI 1104365303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785542400000",
"number": "1447936299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17020 CROCHERON AVE APT 106",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113582268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98120 QUEENS BLVD STE 1C",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744414",
"telephone_number": "347-436-8335",
"fax_number": "347-236-3161"
}
],
"practiceLocations": [
{
"address_1": "6475 Austin St Apt M1",
"address_purpose": "LOCATION",
"city": "Rego Park",
"state": "NY",
"postal_code": "113744195",
"country_code": "US",
"telephone_number": "347-436-8335",
"fax_number": "347-236-3161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GRACE WANG NP IN FAMILY HEALTH P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-26",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-855-7467",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.