Active NPI
Richard Wang
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 301903
- Practice address
- 4802 10TH Avenue
Maimonides Medical Center
Brooklyn, NY 11219 - Phone
- (718) 283-6000
- NPI assigned
- Apr 6, 2017
- Last updated
- Mar 7, 2020
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 301903 | NY | Primary |
Addresses
Primary practice location
4802 10TH Avenue
Maimonides Medical Center
Brooklyn, NY 11219
Mailing address
4802 10TH Avenue
Maimonides Medical Center
Brooklyn, NY 11219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000
2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 932-1000
3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111
7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 859-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301903 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildwood Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Emergency Medicine | Current | Accepting new patients |
| Lake Spring Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Emergency Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672
10114 Liberty Ave
Ozone Park, NY 11417
Phone (718) 487-3330
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000
3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111
1145 W Main St
Christiansburg, VA 24073
Phone (520) 251-8900
1423 W Ruritan Rd
Roanoke, VA 24012
Phone (540) 945-9900
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 10
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.
-
dba Rehabilitation Fluoroscopy Medicine Department of Mount Sinai
- Rehabilitation Practitioner
- New York, NY
- NPI 1477899078
-
- Emergency Medicine Physician
- Salem, VA
- NPI 1215429600
-
- Emergency Medicine Physician
- Blacksburg, VA
- NPI 1013409721
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
dba FPA Urgent Care Center
- Emergency Medicine Physician
- New York, NY
- NPI 1124392238
-
dba FPA Hospital Based MSMC Emergency Physicians
- Emergency Medicine Physician
- New York, NY
- NPI 1427398676
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
dba Emergency Medical Associates
- Emergency Medicine Physician
- New York, NY
- NPI 1346908662
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
dba Lewisgale Medical Center
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583539200000",
"number": "1801329891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 10TH AVENUE",
"address_2": "MAIMONIDES MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVENUE",
"address_2": "MAIMONIDES MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11219",
"telephone_number": "718-283-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2020-03-07",
"certification_date": "2020-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "301903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.