Individual provider Active NPI

Li Wang, L.AC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1902391832
Registry record updated Jun 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006123-1 Issued in NY
Practice address
15 Park Ave Ste 1
New York, NY 10016-4348
Phone
(646) 708-3593
NPI assigned
Jun 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 006123-1 NY Primary

Addresses

Primary practice location

15 Park Ave Ste 1
New York, NY 10016-4348

Mailing address

3165 138TH St Apt 3G
Flushing, NY 11354-2636
Phone (646) 708-3593

Other practice location 1

3165 138th St Apt 3G
Flushing, NY 11354-2636
Phone (646) 708-3593

Other identifiers 1

IdentifierTypeStateIssuer
890646420OtherNYTHE EMPIRE PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006123-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Li Wang Acupuncture, P.C. Acupuncturist Current Accepting new patients

Networks

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

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": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529712000000",
    "number": "1902391832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 138TH ST APT 3G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542636",
            "telephone_number": "646-708-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK AVE STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164348",
            "telephone_number": "646-708-3593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3165 138th St Apt 3G",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113542636",
            "country_code": "US",
            "telephone_number": "646-708-3593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "LI",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2018-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006123-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE EMPIRE PLAN",
            "identifier": "890646420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; 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.