Individual provider Active NPI

Weiming Wang

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1821726498
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
311070 Issued in NY
Practice address
168 Centre St FL 2
New York, NY 10013-6501
Phone
(646) 854-3622
NPI assigned
Aug 11, 2022
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 311070 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

168 Centre St FL 2
New York, NY 10013-6501

Mailing address

41 Mount Kemble Ave Apt 208
Morristown, NJ 07960-5118
Phone (732) 789-4186

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513003205 NY Practitioner - Nurse Practitioner 9830530567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Xu Z. Chen Psychiatrist, LLCGroup PAC ID 4385682657, 15 clinicians

Practice addresses (Care Compare)

837 58TH St
FL 3
Brooklyn, NY 11220-3662
Phone (718) 686-1533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
311070NYMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xu Z. Chen Psychiatrist, LLC CurrentSince Apr 1, 2024 Accepting new patients
Chinese-American Sunshine House Inc CurrentSince Sep 14, 2020 Accepting new patients
Chinatown True Care Medical PLLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

6304 5th Ave
Ste 1
Brooklyn, NY 11220
Phone (718) 576-3610

168 Centre St
Fl 2
New York, NY 10013
Phone (212) 966-8286

Networks

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

Organizations & group practices 3

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1821726498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MOUNT KEMBLE AVE APT 208",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605118",
            "telephone_number": "732-789-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 CENTRE ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100136501",
            "telephone_number": "646-854-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "WEIMING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "311070",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.