Organization Active NPI

Gina Kam Wang MD LLP

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1780859785
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
187800 Issued in NY
Legal business name
GINA KAM WANG MD LLP
Practice address
235 East 22ND Street
Suite DR5
New York, NY 10010
Phone
(212) 682-3602
Fax
(212) 213-8060
NPI assigned
Apr 29, 2008
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Dr. Gina Kam Wang, M.D.NPI 1629091426
Title
Owner
Phone
(212) 682-3602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 187800 NY Primary

Addresses

Primary practice location

235 East 22ND Street
Suite DR5
New York, NY 10010

Mailing address

235 East 22ND Street
Suite Dr 5
New York, NY 10010
Phone (212) 682-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000821 NY Part B Supplier - Clinic/Group Practice 3870504574 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1780859785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 EAST 22ND STREET",
            "address_2": "SUITE DR 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "212-682-3602",
            "fax_number": "212-213-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 EAST 22ND STREET",
            "address_2": "SUITE DR5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "212-682-3602",
            "fax_number": "212-213-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA KAM WANG MD LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "KAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-682-3602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "187800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.