Active NPI
Shu Wang
- Music Therapist
- New York, NY
National Provider Identifier
1508331638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 13928
- Practice address
- 1432 5TH Ave
New York, NY 10035-4521 - Phone
- (646) 289-7743
- NPI assigned
- Oct 4, 2018
- Last updated
- Oct 4, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 13928 | PA | Primary |
Addresses
Primary practice location
1432 5TH Ave
New York, NY 10035-4521
Mailing address
632 Leonard St # 1
Brooklyn, NY 11222-2906
Phone (973) 866-8661
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 |
|---|---|---|---|
| 13928 | PA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1508331638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 LEONARD ST # 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112222906",
"telephone_number": "973-866-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100354521",
"telephone_number": "646-289-7743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "SHU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "PA",
"license": "13928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.