Organization Active NPI

Yue Wang, MD, LLC

  • Clinic/Center
  • Hamilton, NJ
National Provider Identifier
1467501809
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MA07292700 Issued in NJ
Legal business name
YUE WANG, MD, LLC
Practice address
2065 Klockner Rd
Hamilton, NJ 08690-3414
Phone
(609) 586-6321
Fax
(609) 586-7634
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Yue Wang, M.D.NPI 1225143134
Title
Owner
Phone
(609) 586-1001

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25MA07292700 NJ Primary

Addresses

Primary practice location

2065 Klockner Rd
Hamilton, NJ 08690-3414

Mailing address

2065 Klockner Rd
Hamilton Square, NJ 08690-3414
Phone (609) 586-1001

Other identifiers 2

IdentifierTypeStateIssuer
108690OtherNJPTAN
8638608MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070412000665 NJ Part B Supplier - Clinic/Group Practice 0840395232 Receives reassigned benefits from 2 practitioners
Practice locations: Hamilton Square, NJ; Plainsboro, NJ

National Provider Directory

National Provider Directory

Locations

132 E Delaware Ave
Florence, NJ 08518
Phone (609) 499-3650

5 Plainsboro Rd
Ste 590
Plainsboro, NJ 08536
Phone (609) 584-1212

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1467501809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 KLOCKNER RD",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903414",
            "telephone_number": "609-586-1001",
            "fax_number": "609-586-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903414",
            "telephone_number": "609-586-6321",
            "fax_number": "609-586-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUE WANG, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-586-1001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA07292700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "108690",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8638608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.