Woodside ASC LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

WOODSIDE ASC LLC

Practice address

69-28 Queens Boulevard
Woodside, NY 11377

Phone

(718) 309-8675

Fax

(718) 400-8515

NPI assigned

Nov 7, 2025

Organization subpart

No

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

Authorized official

Name

Chuansheng Wang, M.D

Title

President

Phone

(646) 286-6921

Specialties & licenses 1

Addresses

Tax ID family

Woodside ASC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Woodside ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Woodside, NY
  • NPI 1427910447
  NPD tax ID

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1629948385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "address_2": "APT 715",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10044",
            "telephone_number": "646-286-6921",
            "fax_number": "718-400-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69-28 QUEENS BOULEVARD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-309-8675",
            "fax_number": "718-400-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHUANSHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-286-6921",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Wong, MSPT,OCS, CAMT
• Kimberly Wong, RN
• Winnie Wong, R.N
• Woodside Adult Daycare, Inc.
• Woodside ASC LLC
• Woodside Chemists Inc.
• Woodside Corner RX Inc
• Woodside Dental Center P.C.
• Woodside Eye Care Inc
• Woodside Family Dental PLLC

• Gastroenterology Physician in Woodside, NY
• Providers in Woodside, 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 Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.