Individual provider Active NPI

Ellen Wang, D.O.

  • Cardiovascular Disease Physician
  • Flushing, NY
National Provider Identifier
1619288065
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
282507 Issued in NY
Practice address
13656 39TH Ave FL 2
Flushing, NY 11354-5598
Phone
(212) 335-0328
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MB09209200 NJ
Cardiovascular Disease Physician 207RC0000X 282507 NY Primary

Addresses

Primary practice location

13656 39TH Ave FL 2
Flushing, NY 11354-5598

Mailing address

13656 39TH Ave FL 2
Flushing, NY 11354-5598

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4 Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
I20161031000647 NY Practitioner - Cardiovascular Disease (Cardiology) 4981982709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Queens Medicine and Surgery, P.C.Group PAC ID 4082883673, 401 clinicians

Practice addresses (Care Compare)

13656 39TH Ave
Flushing, NY 11354-5598
Phone (718) 445-0220

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09209200NJMDCardiovascular Disease Physician
282507NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Cardiovascular Disease CurrentSince Apr 18, 2022 Accepting new patients
Eyw Medical PC Cardiovascular Disease Current Accepting new patients
Albany Medical College Current Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 17, 2025 Accepting new patients
Albany Medical College CurrentSince Apr 18, 2022 Accepting new patients
Albany Medical College CurrentSince Apr 18, 2022 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 17, 2025 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

13656 39th Ave
Ste 2FL
Flushing, NY 11354
Phone (718) 886-7014

13656 39th Ave
Flushing, NY 11354
Phone (646) 450-7345

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

Networks

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

Interoperability endpoints

  • Direct secure messaging: ewang102256@albanymed.direct-ci.com

Organizations & group practices 7

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 5

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1619288065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13656 39TH AVE FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13656 39TH AVE FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545598",
            "telephone_number": "212-335-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ELLEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB09209200",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "282507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "13656 39th Ave Fl 2",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113545598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "13656 39th Ave Fl 2",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113545598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.