Individual provider Active NPI

Gina Wang, MD

  • Specialist
  • New York, NY
National Provider Identifier
1629091426
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
187800 Issued in NY
Practice address
235 E 22ND St Unit DR5
New York, NY 10010-4616
Phone
(212) 682-3602
Fax
(212) 213-8060
NPI assigned
Jul 25, 2006
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 187800 NY Primary

Addresses

Primary practice location

235 E 22ND St Unit DR5
New York, NY 10010-4616

Mailing address

235 E 22ND St Unit DR5
New York, NY 10010-4616
Phone (212) 682-3602

Other identifiers 2

IdentifierTypeStateIssuer
1780859785OtherNYNPI
01737920MedicaidNY

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
I20060510000356 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678584372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

235 E 22ND St
Suite DR5
New York, NY 10010-4616
Phone (212) 682-3602

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Kam Wang MD LLP CurrentSince Jan 1, 2006 Accepting new patients
Meng Kao Tseng MD LLP PastSince Jan 1, 2006 Accepting new patients

Locations

345 E 37th St
Rm 310
New York, NY 10016
Phone (212) 682-3600

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1629091426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E 22ND ST UNIT DR5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104616",
            "telephone_number": "212-682-3602",
            "fax_number": "212-213-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E 22ND ST UNIT DR5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104616",
            "telephone_number": "212-682-3602",
            "fax_number": "212-213-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "187800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780859785",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01737920",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.