Active NPI
Anne Wang, DMD
- Dentist
- New York, NY
National Provider Identifier
1548791049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062386-01
- Practice address
- 2265 3Rd Ave
New York, NY 10035-2231 - Phone
- (212) 289-6650
- NPI assigned
- Mar 26, 2017
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS041597 | PA | |
| Dentist | 122300000X | 062386-01 | NY | Primary |
Addresses
Primary practice location
2265 3Rd Ave
New York, NY 10035-2231
Mailing address
1100 Macdade Blvd
Woodlyn, PA 19094-1322
Phone (610) 833-2520
Other practice location 1
1100 MacDade Blvd
Woodlyn, PA 19094-1322
Phone (610) 833-2520
Other practice location 2
1300 MacDade Blvd
Woodlyn, PA 19094-1537
Phone (610) 833-1919
Other practice location 3
251 E Huron St
Chicago, IL 60611-2908
Phone (312) 926-2000
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 |
|---|---|---|---|
| 062386-01 | NY | MD | Dentist |
| DS041597 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1548791049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MACDADE BLVD",
"city": "WOODLYN",
"state": "PA",
"postal_code": "190941322",
"telephone_number": "610-833-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2265 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352231",
"telephone_number": "212-289-6650"
}
],
"practiceLocations": [
{
"address_1": "1100 MacDade Blvd",
"address_purpose": "LOCATION",
"city": "Woodlyn",
"state": "PA",
"postal_code": "190941322",
"country_code": "US",
"telephone_number": "610-833-2520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 MacDade Blvd",
"address_purpose": "LOCATION",
"city": "Woodlyn",
"state": "PA",
"postal_code": "190941537",
"country_code": "US",
"telephone_number": "610-833-1919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "251 E Huron St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112908",
"country_code": "US",
"telephone_number": "312-926-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "ANNE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-26",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS041597",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062386-01",
"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 Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.