Active NPI
Shing Wen, NP
- Pediatric Nurse Practitioner
- New York, NY
National Provider Identifier
1689343360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 383238
- Practice address
- 801 Amsterdam Ave
New York, NY 10025-5752 - Phone
- (510) 816-6686
- NPI assigned
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 383238 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 383238 | NY | Primary |
Addresses
Primary practice location
801 Amsterdam Ave
New York, NY 10025-5752
Mailing address
280 Ainslie St Apt 1
Brooklyn, NY 11211-4914
Phone (510) 387-7827
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 383238 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Family Health | Multi-Specialty | Current | Accepting new patients |
| The Institute for Family Health | Multi-Specialty | Current | Accepting new patients |
| William F Ryan Community Health Center Inc | Multi-Specialty | Current | Accepting new patients |
| The Institute for Family Health | Multi-Specialty | Current | Accepting new patients |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| Cheuk W.Lau M.D.,P.C. | Single Specialty | Past | Accepting new patients |
Locations
16 E 16th St
New York, NY 10003
Phone (212) 633-0800
110 W 97th St
New York, NY 10025
Phone (212) 316-7906
1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1295729408
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851328199
Multi-Specialty
-
- Family Medicine Physician
- Kingston, NY
- NPI 1194098251
Multi-Specialty
-
- Family Medicine Physician
- New York, NY
- NPI 1972877017
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1043079064
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1730317769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1689343360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 AINSLIE ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112114914",
"telephone_number": "510-387-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100255752",
"telephone_number": "510-816-6686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEN",
"first_name": "SHING",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "383238",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "383238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.