Edison Medical Health Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA08036900 Issued in NJ

Legal business name

EDISON MEDICAL HEALTH CARE LLC

Practice address

1717 Lincoln Hwy
Edison, NJ 08817-3471

Phone

(732) 339-1711

Fax

(732) 339-1713

NPI assigned

Jul 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Yue He Wang, M.D.

Title

President

Phone

(732) 339-1711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1902247034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN HWY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173471",
            "telephone_number": "732-339-1711",
            "fax_number": "732-339-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN HWY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173471",
            "telephone_number": "732-339-1711",
            "fax_number": "732-339-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON MEDICAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YUE HE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-339-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08036900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edison Ig Cards LLC (Zoe's Cardsmart Pharmacy Dept)
• Edison Imaging Associates PA
• Edison Medical Associates LLC
• Edison Medical Care, LLC
• Edison Medical Center LLC
• Edison Medical Imaging
• Edison Medical Nutrition Center
• Edison Metuchen Orthopaedic Group PA
• Edison Nephrorlogy Consultants
• Edison Neurologic Associates

• Family Medicine Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.