Individual provider Active NPI

Linda Wang, MD

  • Pediatric Nephrology Physician
  • New York, NY
National Provider Identifier
1699279505
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
329711 Issued in NY
Practice address
430 E 34TH St
New York, NY 10016
Phone
(646) 929-7970
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 329711 NY Primary

Addresses

Primary practice location

430 E 34TH St
New York, NY 10016

Mailing address

21 Rebel Run Dr
East Brunswick, NJ 08816-2639
Phone (732) 609-4816

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812000106 NY Practitioner - Pediatric Medicine 3577893411 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
329711NYMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Langone Hospitals CurrentSince Oct 15, 2024 Accepting new patients
New York University CurrentSince Aug 1, 2024 Accepting new patients
NYU Langone Hospitals CurrentSince Oct 15, 2024 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
New York University CurrentSince Aug 1, 2024 Accepting new patients

Locations

150 E 32nd St
New York, NY 10016
Phone (212) 263-8610

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

1 Park Ave
Fl 10
New York, NY 10016
Phone (212) 404-3715

150 E 32nd St
Fl 2
New York, NY 10016
Phone (646) 825-6300

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lwang645162@nyumc.direct-ci.com
  • Direct secure messaging: lwang4087070@nychhc.direct-ci.com

Organizations & group practices 5

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1699279505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 REBEL RUN DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162639",
            "telephone_number": "732-609-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "646-929-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "LINDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "329711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.