Individual provider Active NPI

Yan Wang, M.D.,

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1821160540
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240681 Issued in NY
Practice address
42-35 Main St
Suite 3J
Flushing, NY 11355-4721
Phone
(917) 291-7317
Fax
(718) 321-7510
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 240681 NY Primary

Addresses

Primary practice location

42-35 Main St
Suite 3J
Flushing, NY 11355-4721

Mailing address

42-35 Main St
Suite 3J
Flushing, NY 11355-4721
Phone (917) 291-7317

Other identifiers 1

IdentifierTypeStateIssuer
02814822MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000731 NY Practitioner - Internal Medicine 8729182696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4235 Main St
3J
Flushing, NY 11355-3956
Phone (718) 321-7410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
240681NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yan Wang Medical P.C. Specialist CurrentSince Nov 1, 2008 Accepting new patients

Locations

4235 Main St
Ste 3J
Flushing, NY 11355
Phone (718) 321-7410

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1821160540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-35 MAIN ST",
            "address_2": "SUITE 3J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554721",
            "telephone_number": "917-291-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42-35 MAIN ST",
            "address_2": "SUITE 3J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554721",
            "telephone_number": "917-291-7317",
            "fax_number": "718-321-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YAN",
        "name_prefix": "Ms.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02814822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.