Active NPI
Mary Ge Wang, L.AC
- Acupuncturist
- Rockville, MD
National Provider Identifier
1770677262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U00623
- Practice address
- 4720 Hornbeam Dr
Rockville, MD 20853-1419 - Phone
- (301) 924-0438
- Fax
- (202) 865-1774
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U00623 | MD | Primary |
| Acupuncturist | 171100000X | AC30026 | DC |
Addresses
Primary practice location
4720 Hornbeam Dr
Rockville, MD 20853-1419
Mailing address
4720 Hornbeam Dr
Rockville, MD 20853-1419
Phone (301) 924-0438
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1970023 | Other | MD | CIGNA, PPO |
| J110-0001 | Other | DC | CAREFIRST BLUECROSS BLUES |
| 2370341 | Other | MD | UH |
| BP21AC | Other | MD | CAREFIRST BLUECROSS BLUES |
| 1006471 | Other | MD | ASH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC30026 | DC | MD | Acupuncturist |
| U00623 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770677262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 HORNBEAM DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208531419",
"telephone_number": "301-924-0438",
"fax_number": "202-865-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 HORNBEAM DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208531419",
"telephone_number": "301-924-0438",
"fax_number": "202-865-1774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "MARY",
"middle_name": "GE",
"name_prefix": "Mrs.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U00623",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "DC",
"license": "AC30026",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA, PPO",
"identifier": "1970023",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECROSS BLUES",
"identifier": "J110-0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UH",
"identifier": "2370341",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECROSS BLUES",
"identifier": "BP21AC",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASH",
"identifier": "1006471",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
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.