Individual provider Active NPI

Shing Wen, NP

  • Pediatric Nurse Practitioner
  • New York, NY
National Provider Identifier
1689343360
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383238 Issued in NY
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

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 383238 NY
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220418001645 NY Practitioner - Nurse Practitioner 3375930597 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
383238NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Multi-Specialty CurrentSince Jun 5, 2024 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 CurrentSince Jun 5, 2024 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Mar 14, 2022 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Mar 14, 2022 Accepting new patients
Cheuk W.Lau M.D.,P.C. Single Specialty PastSince Sep 1, 2021 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.

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

Verify at the official NPI Registry.