Active NPI
Yuejun Wang, AU.D
- Audiologist
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 53-59 Public SQ Ste 202
Watertown, NY 13601-2674 - Phone
- (315) 786-3225
- NPI assigned
- Sep 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | |||
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
53-59 Public SQ Ste 202
Watertown, NY 13601-2674
Mailing address
1005 1/2 W Sullivan St
Olean, NY 14760-2231
Phone (917) 923-3902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002996 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Audiology and Physical Therapy, PLLC | Audiologist | Current | Accepting new patients |
| Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Western New York Medical Practice PC | Current | Accepting new patients |
Locations
544 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-8800
7232 Austin St
Forest Hills, NY 11375
Phone (718) 577-5121
800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450
800 Northern Blvd
Ste 3
Great Neck, NY 11021
1776 Broadway
New York, NY 10019
Phone (212) 399-7329
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
10 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 723-2813
53-59 Public Sq
Ste 202
Watertown, NY 13601
Phone (315) 786-3225
Organizations & group practices 4
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.
-
- Physical Therapist
- Watertown, NY
- NPI 1376048652
Audiologist
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Obstetrics & Gynecology Physician
- Warsaw, NY
- NPI 1306214689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1508472788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 1/2 W SULLIVAN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147602231",
"telephone_number": "917-923-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53-59 PUBLIC SQ STE 202",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012674",
"telephone_number": "315-786-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "YUEJUN",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.