Active NPI
MW Surgery, PC
- Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MW SURGERY, PC
- Practice address
- 139 Centre St Ste 818
New York, NY 10013-4558 - Phone
- (646) 590-6735
- Fax
- (646) 590-6737
- NPI assigned
- Dec 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mingke Wang, MD
- Title
- President
- Phone
- (917) 859-7825
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
139 Centre St Ste 818
New York, NY 10013-4558
Mailing address
139 Centre St Ste 818
New York, NY 10013-4558
Phone (646) 590-6735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06406977 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2213123 | MW Surgery PC | Certificate of waiver | Feb 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
139 Centre St
Ste 818
New York, NY 10013
Phone (212) 431-4200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- New York, NY
- NPI 1548469778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677715200000",
"number": "1952998890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 CENTRE ST STE 818",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134558",
"telephone_number": "646-590-6735",
"fax_number": "646-590-6737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CENTRE ST STE 818",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134558",
"telephone_number": "646-590-6735",
"fax_number": "646-590-6737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MW SURGERY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-27",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "MINGKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-859-7825",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06406977",
"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 Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.