Shuangshuang Weng, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F339834 Issued in NY

Practice address

2035 120TH St
2FL
College Point, NY 11356-2105

Phone

(917) 518-0018

NPI assigned

Sep 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

Mark Ilyagu Medical PCGroup PAC ID 6800272477, 7 clinicians

Premier Healthcare IncGroup PAC ID 1254233158, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: shuangshuang.weng.p1@direct.premierhealthcare.nextgenshare.com

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.

• Divinity Medical Services PLLC

  • Urgent Care Clinic/Center
  • Yorktown Heights, NY
  • NPI 1497159560
  Medicare reassignment Care Compare group NPD
• Mark Ilyagu Medical PC

  • Internal Medicine Physician
  • Valley Stream, NY
  • NPI 1619699915
  Medicare reassignment Care Compare group NPD
• Premier Healthcare, Inc.

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1760436190
  Medicare reassignment Care Compare group NPD
• Visiting Services, LLC

  • Primary Care Clinic/Center
  • Spring Valley, NY
  • NPI 1083241392
  Medicare reassignment NPD
• Patient Centered Medical Service PC

  • Family Medicine Physician
  • Bayside, NY
  • NPI 1174322580
  NPD
• Premier Healthcare, Inc.

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1831330182
  NPD
• Young Adult Institute, Inc.

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1144314576
  NPD

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1568831998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 120TH ST",
            "address_2": "2FL",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562105",
            "telephone_number": "917-518-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 120TH ST",
            "address_2": "2FL",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562105",
            "telephone_number": "917-518-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENG",
        "first_name": "SHUANGSHUANG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366826786",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huizhu Wang, RPH
• Ming Jie Wang, OTR/L
• Xiaoxia Wang, CREDENTIAL RN
• Sandi Weissman
• Welllife Network Inc
• Susan Weng, OTR/L
• White RX Pharmacy Inc
• Madeline Elyse White
• Whitepoint Optique,Inc
• Michele Wong, PHARM.D.

• Family Nurse Practitioner in College Point, NY
• Providers in College Point, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.