Xianrui Wang, LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005578 Issued in NY

Practice address

1 New York PLZ
The Medispa Nyc
New York, NY 10004-1901

Phone

(732) 788-3990

NPI assigned

Dec 29, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Xianrui Roger Wang Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• FHL TCM Clinic

  • Acupuncturist
  • Hazlet, NJ
  • NPI 1720444243
  NPD (past) Authorized official

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1942665310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HAWTHORNE AVE",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331035",
            "telephone_number": "732-788-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NEW YORK PLZ",
            "address_2": "THE MEDISPA NYC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041901",
            "telephone_number": "732-788-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "XIANRUI",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005578",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ 00115800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIANRUI",
            "last_name": "WANG",
            "middle_name": "ROGER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Weiming Wang
• Wen Ao Dana Wang, M.D.
• Wenci Wang, MA, BA, BS
• William Norberto Wang, M.D.
• Xianlong Wang
• Xiaochan Wang, LMSW
• Xiaohui Wang, MD
• Xin Wang, MD
• Xin Alexander Wang, MD
• Xintong Wang, MD

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.