Active NPI
Zhenyuan Wang, PH.D.
- Clinical Laboratory Director (Non-physician)
- Boston, MA
National Provider Identifier
1649570383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- License
- 2863
- Practice address
- 700 Albany St
W408
Boston, MA 02118-2518 - Phone
- (617) 638-7083
- NPI assigned
- Oct 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | 4306 | NY | |
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | 2863 | MA | Primary |
Addresses
Primary practice location
700 Albany St
W408
Boston, MA 02118-2518
Mailing address
700 Albany St
W408
Boston, MA 02118-2518
Phone (617) 638-7083
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30006321 | Medicaid | NH | |
| 110025599A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2863 | MA | MD | Chiropractor |
| 4306 | NY | MD | Clinical Laboratory Director (Non-physician) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metwest Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Colorado Springs, CO
- NPI 1922549112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1649570383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ALBANY ST",
"address_2": "W408",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182518",
"telephone_number": "617-638-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ALBANY ST",
"address_2": "W408",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182518",
"telephone_number": "617-638-7083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "ZHENYUAN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": "NY",
"license": "4306",
"primary": false
},
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": "MA",
"license": "2863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30006321",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110025599A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.