Active NPI
Yongjian Wang
- Acupuncturist
- Rockville, MD
National Provider Identifier
1770957169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U00526
- Practice address
- 14812 Physicians LN
162
Rockville, MD 20850-3943 - Phone
- (240) 489-1818
- NPI assigned
- Nov 23, 2015
- Last updated
- Oct 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U00526 | MD | Primary |
Addresses
Primary practice location
14812 Physicians LN
162
Rockville, MD 20850-3943
Mailing address
35 Prairie Landing CT
North Potomac, MD 20878-4375
Phone (240) 489-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U00526 | Other | MD | STATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE |
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 |
|---|---|---|---|
| U00526 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucida TCM | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1770957169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 PRAIRIE LANDING CT",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208784375",
"telephone_number": "240-489-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14812 PHYSICIANS LN",
"address_2": "162",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503943",
"telephone_number": "240-489-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "YONGJIAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-23",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U00526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE",
"identifier": "U00526",
"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 Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.