Active NPI
Victor Wang, D.M.D.
- General Practice Dentistry
- Warren, NJ
National Provider Identifier
1487051736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DIO1852300
- Practice address
- 163 Washington Valley Rd
Suite 106
Warren, NJ 07059-7180 - Phone
- (732) 560-5988
- Fax
- (732) 563-6999
- NPI assigned
- Dec 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DIO1852300 | NJ | Primary |
Addresses
Primary practice location
163 Washington Valley Rd
Suite 106
Warren, NJ 07059-7180
Mailing address
163 Washington Valley Rd
Suite 106
Warren, NJ 07059-7180
Phone (732) 560-5988
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DIO1852300 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental Associates of Warren, LLC | General Practice | Past | Accepting new patients |
| Herawati T Kandou DDS PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Warren, NJ
- NPI 1386706968
-
- Dentist
- Warren, NJ
- NPI 1245499847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1487051736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 WASHINGTON VALLEY RD",
"address_2": "SUITE 106",
"city": "WARREN",
"state": "NJ",
"postal_code": "070597180",
"telephone_number": "732-560-5988",
"fax_number": "732-563-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 WASHINGTON VALLEY RD",
"address_2": "SUITE 106",
"city": "WARREN",
"state": "NJ",
"postal_code": "070597180",
"telephone_number": "732-560-5988",
"fax_number": "732-563-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-02",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DIO1852300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.