Active NPI
Shu-Heng Wang, PNP-AC
- Pediatric Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1932709821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F383202
- Practice address
- 7324 18TH Ave
Brooklyn, NY 11204-5678 - Phone
- (718) 837-6188
- Fax
- (212) 274-8457
- NPI assigned
- Oct 29, 2020
- Last updated
- Oct 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F383202 | NY | Primary |
Addresses
Primary practice location
7324 18TH Ave
Brooklyn, NY 11204-5678
Mailing address
203 29TH St
Brooklyn, NY 11232-1703
Phone (657) 358-5317
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://nycgpcapp.eclinicalweb.com/mobiledoc/jsp/webemr/login/newLogin.jsp |
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
| License | State | Type | Specialty |
|---|---|---|---|
| F383202 | NY | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1932709821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 29TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112321703",
"telephone_number": "657-358-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7324 18TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112045678",
"telephone_number": "718-837-6188",
"fax_number": "212-274-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "SHU-HENG",
"credential": "PNP-AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F383202",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://nycgpcapp.eclinicalweb.com/mobiledoc/jsp/webemr/login/newLogin.jsp",
"affiliation": "N",
"address_1": "7324 18th Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112045678",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.