Individual provider Active NPI

John Wang, MD

  • Psychiatry Physician
  • Camden, NJ
National Provider Identifier
1922636596
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA12269800 Issued in NJ
Practice address
400 Chambers Ave
Camden, NJ 08103-1405
Phone
(856) 342-2328
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA12269800 NJ Primary

Addresses

Primary practice location

400 Chambers Ave
Camden, NJ 08103-1405

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.wang@nyulangone.org NYU Langone Hospitals

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220426000827 NY Practitioner - Psychiatry 3476940263 Reassigns benefits to 1 organization
I20240722002317 NJ Practitioner - Psychiatry 3476940263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMC Psychiatric Associates PCGroup PAC ID 2264401686, 38 clinicians

Practice addresses (Care Compare)

400 Chambers Ave
Camden, NJ 08103-1405
Phone (856) 342-2328

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
98.77
Promoting interoperability
99
Improvement activities
40
Cost
62.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Psychiatric Associates, PC Psychiatry CurrentSince Jul 2, 2024 Accepting new patients
New York University CurrentSince May 1, 2022 Accepting new patients
New York University CurrentSince May 1, 2022 Accepting new patients

Locations

400 Chambers Ave
Camden, NJ 08103
Phone (856) 365-1811

3 Cooper Plz
Rm 307
Camden, NJ 08103
Phone (856) 757-7799

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 220
Camden, NJ 08103
Phone (856) 342-2228

1011 Main St
Voorhees, NJ 08043
Phone (215) 592-8720

500 1st Ave
New York, NY 10016
Phone (212) 562-4141

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: jwang183286@direct.cooperhealth.edu
  • Direct secure messaging: jwang230913@nyumc.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1922636596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHAMBERS AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031405",
            "telephone_number": "856-342-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA12269800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.wang@nyulangone.org",
            "affiliation": "Y",
            "affiliationName": "NYU Langone Hospitals",
            "address_1": "462 1st Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100169196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.