Individual provider Active NPI

Wen Lin Wang, D.O.

  • Infectious Disease Physician
  • Forest Hills, NY
National Provider Identifier
1568421998
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
198344 Issued in NY
Practice address
6829 Dartmouth St
Forest Hills, NY 11375-5046
Phone
(718) 357-1728
Fax
(866) 923-4356
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 198344 NY Primary

Addresses

Primary practice location

6829 Dartmouth St
Forest Hills, NY 11375-5046

Mailing address

160 Hummingbird Dr
Roslyn, NY 11576-2506
Phone (718) 358-1728

Other practice location 1

4265 Kissena Blvd
L3
Flushing, NY 11355-3273
Phone (718) 358-1728

Other identifiers 1

IdentifierTypeStateIssuer
01840380MedicaidNY

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
I20070330000185 NY Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Other (Physician) 0749384782 Practice locations: Flushing, NY; Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4265 Kissena Blvd
L3
Flushing, NY 11355-3273
Phone (718) 358-1728

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5000

5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-1231

Hospital & facility affiliations

  • Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193
  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Long Island Medical Group, P.C. Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: wew9021@direct.nyp.org

Organizations & group practices 1

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 6

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1568421998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HUMMINGBIRD DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762506",
            "telephone_number": "718-358-1728",
            "fax_number": "866-923-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 DARTMOUTH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755046",
            "telephone_number": "718-357-1728",
            "fax_number": "866-923-4356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4265 KISSENA BLVD",
            "address_2": "L3",
            "address_purpose": "LOCATION",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553273",
            "country_code": "US",
            "telephone_number": "718-358-1728",
            "fax_number": "866-923-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "WEN",
        "middle_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "198344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01840380",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.