Individual provider Active NPI

Yue He Wang, MD

  • Family Medicine Physician
  • Raritan, NJ
National Provider Identifier
1669549903
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08036900 Issued in NJ
Practice address
1130 Route 202
Unit B3
Raritan, NJ 08869-1490
Phone
(908) 393-6263
Fax
(908) 393-6263
NPI assigned
Nov 30, 2006
Last updated
Sep 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08036900 NJ Primary

Addresses

Primary practice location

1130 Route 202
Unit B3
Raritan, NJ 08869-1490

Mailing address

1130 Route 202
Unit B3
Raritan, NJ 08869-1490
Phone (908) 393-6263

Other identifiers 1

IdentifierTypeStateIssuer
0149829MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070605000336 NJ Practitioner - Family Practice 3870691447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Lincoln Hwy
Suite 301
Edison, NJ 08820-3963
Phone (732) 515-9180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton - Princeton PC Current Accepting new patients
Wellhealth Medical LLC CurrentSince Nov 14, 2015 Accepting new patients
Medical Monitoring Past Accepting new patients
East Mountain Hospital Inc Past Accepting new patients
East Mountain Hospital, Inc. Past Accepting new patients

Locations

3 State Route 27
Ste 301
Edison, NJ 08820
Phone (732) 452-9800

1255 Whitehorse Mercerville Rd
Ste 504
Hamilton, NJ 08619
Phone (609) 256-4200

1130 US Highway 202
Raritan, NJ 08869
Phone (908) 393-6263

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1669549903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 ROUTE 202",
            "address_2": "UNIT B3",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691490",
            "telephone_number": "908-393-6263",
            "fax_number": "908-393-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 ROUTE 202",
            "address_2": "UNIT B3",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691490",
            "telephone_number": "908-393-6263",
            "fax_number": "908-393-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YUE HE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08036900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149829",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raritan, NJ

Sources for this page

Verify at the official NPI Registry.