Active NPI
Sun-Mei Wang, MD
- Obstetrics & Gynecology Physician
- Fair Lawn, NJ
National Provider Identifier
1710080254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MS02624500
- Practice address
- 15-01 Broadway Ste 24
Fair Lawn, NJ 07410 - Phone
- (201) 794-0068
- Fax
- (201) 475-9109
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MS02624500 | NJ | Primary |
Addresses
Primary practice location
15-01 Broadway Ste 24
Fair Lawn, NJ 07410
Mailing address
12 Brentwood Drive
North Caldwell, NJ 07006
Phone (973) 228-4958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2801809 | Medicaid | NJ |
Other names 1
- Susan Sun-Mei Wang
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MS02624500 | NJ | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710080254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BRENTWOOD DRIVE",
"city": "NORTH CALDWELL",
"state": "NJ",
"postal_code": "07006",
"telephone_number": "973-228-4958",
"fax_number": "973-228-4958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15-01 BROADWAY STE 24",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-794-0068",
"fax_number": "201-475-9109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "SUN-MEI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MS02624500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2801809",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "WANG",
"middle_name": "SUN-MEI",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.