Wallace J. Wang, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

257569 Issued in NY

Practice address

17 Elizabeth St
Suite 608
New York, NY 10013-4803

Phone

(212) 219-8031

Fax

(212) 219-3903

NPI assigned

Jun 3, 2008

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Gastroenterology

Education

New York Medical College, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Downtown Gastroenterology Associates PCGroup PAC ID 1658341474, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Downtown Gastroenterology Associates PC

  • Gastroenterology Physician
  • New York, NY
  • NPI 1003976960
  Medicare reassignment Care Compare group NPD
• Digestive Diseases Diagnostic & Treatment Center LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1376774208
  Medicare reassignment NPD
• Elizabeth Medical Associates, PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1184803629
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1598924805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ELIZABETH ST",
            "address_2": "SUITE 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-219-8031",
            "fax_number": "212-219-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ELIZABETH ST",
            "address_2": "SUITE 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-219-8031",
            "fax_number": "212-219-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "WALLACE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "257569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Wang, PT
• Tong Wang
• Tony Jau Cheng Wang, M.D.
• Tsai-Yen Wang
• Vivian Wang, MD
• Wei Wang, PA
• Weiming Wang
• Wen Ao Dana Wang, M.D.
• Wenci Wang, MA, BA, BS
• William Norberto Wang, M.D.

• Gastroenterology Physician in New York, NY
• Providers in New York, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.