Individual provider Active NPI

Jing Wa Wang, MD

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1508029232
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
243727 Issued in NY
Practice address
447 Atlantic Ave
Brooklyn, NY 11217
Phone
(718) 858-6300
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 243727 NY
Cardiovascular Disease Physician 207RC0000X 243727 NY Primary

Addresses

Primary practice location

447 Atlantic Ave
Brooklyn, NY 11217

Mailing address

226 W 14TH St
New York, NY 10011-7201
Phone (212) 604-1800

Other practice location 1

447 Atlantic Ave
Brooklyn, NY 11217-1702
Phone (718) 858-6300

Other practice location 2

1000 Church Ave
Brooklyn, NY 11218-2710
Phone (718) 826-4000

Other practice location 3

226 W 14th St
New York, NY 10011-7201
Phone (212) 604-1800

Other practice location 4

300 Bayshore Road
North Babylon, NY 11703-2823
Phone (631) 586-2700

Other practice location 5

4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone (718) 948-8200

Other practice location 6

1050 Clove Road
Staten Island, NY 10301-3627
Phone (718) 816-6440

Other identifiers 1

IdentifierTypeStateIssuer
03631243MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131011000227 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5597934844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

226 W 14TH St
New York, NY 10011-7201
Phone (212) 604-1800

233 Nostrand Ave
Brooklyn, NY 11205-4924
Phone (718) 826-5900

447 Atlantic Ave
Brooklyn, NY 11217-1702
Phone (718) 858-6300

Hospital & facility affiliations

  • Mount Sinai West Hospital, New York, NY, CCN 330046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
243727NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Advantagecare Physicians PC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

1000 Church Ave
Brooklyn, NY 11218
Phone (718) 826-4000

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

447 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 421-2131

3245 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 615-3777

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

55 Water St
Fl 2
New York, NY 10041

226 W 14th St
New York, NY 10011
Phone (212) 420-2882

300 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-2700

4771 Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-8200

1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1508029232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117201",
            "telephone_number": "212-604-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11217",
            "telephone_number": "718-858-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112171702",
            "country_code": "US",
            "telephone_number": "718-858-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112182710",
            "country_code": "US",
            "telephone_number": "718-826-4000",
            "fax_number": "718-826-4075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 W 14th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117201",
            "country_code": "US",
            "telephone_number": "212-604-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bayshore Road",
            "address_purpose": "LOCATION",
            "city": "North Babylon",
            "state": "NY",
            "postal_code": "117032823",
            "country_code": "US",
            "telephone_number": "631-586-2700",
            "fax_number": "631-491-8613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4771 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103126315",
            "country_code": "US",
            "telephone_number": "718-948-8200",
            "fax_number": "718-420-2718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Clove Road",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013627",
            "country_code": "US",
            "telephone_number": "718-816-6440",
            "fax_number": "718-420-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JING WA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "243727",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "243727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03631243",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.