Organization Active NPI

Complete Wellness Medical Care PC

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1467746222
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPLETE WELLNESS MEDICAL CARE PC
Practice address
471 E Tremont Ave
Bronx, NY 10457-4401
Phone
(718) 618-7612
Fax
(718) 618-7617
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Yue He Wang, M.D.
Title
Medical Director
Phone
(718) 618-7612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

471 E Tremont Ave
Bronx, NY 10457-4401

Mailing address

471 E Tremont Ave
Bronx, NY 10457-4401
Phone (718) 618-7612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1467746222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574401",
            "telephone_number": "718-618-7612",
            "fax_number": "718-618-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574401",
            "telephone_number": "718-618-7612",
            "fax_number": "718-618-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WELLNESS MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YUE",
        "authorized_official_middle_name": "HE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-618-7612",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.