Pei Yuan Wang

Primary specialty

DentistTaxonomy code 122300000X

License

049747 Issued in NY

Practice address

5115 8TH Ave
Brooklyn, NY 11220-2802

Phone

(718) 436-0963

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891840740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202802",
            "telephone_number": "718-436-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "PEI",
        "middle_name": "YUAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02228155",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mimi Wang, MA, RD, C DN
• Nick Wang, MD
• Norman Wang, PHARM D.
• Pamela Wang, CCC-SLP
• Pan Pan Wang
• Peng Wang, PHD IN COUNSELING
• Richard Wang
• Robert Wang, MD
• Roy Wang, MD
• Sam Wang, D.P.T.

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.