Active NPI
Wei Wang, M.D.
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1972528032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 211436
- Practice address
- 5722 7TH Ave
First Floor
Brooklyn, NY 11220-3903 - Phone
- (718) 439-5958
- Fax
- (718) 492-4931
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 211436 | NY | Primary |
Addresses
Primary practice location
5722 7TH Ave
First Floor
Brooklyn, NY 11220-3903
Mailing address
5722 7TH Ave
First Floor
Brooklyn, NY 11220-3903
Phone (718) 439-5958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01920709 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040311001201 | NY | Practitioner - Family Practice | 3577452226 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5722 7TH Ave
Brooklyn, NY 11220-3903
Phone (718) 439-5958
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211436 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NYU Lutheran Medical Center | Past | Accepting new patients | |
| Park Slope Medical Service PC | Past | Accepting new patients | |
| Agi Medical PLLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972528032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5722 7TH AVE",
"address_2": "FIRST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203903",
"telephone_number": "718-439-5958",
"fax_number": "718-492-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5722 7TH AVE",
"address_2": "FIRST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203903",
"telephone_number": "718-439-5958",
"fax_number": "718-492-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "WEI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "211436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01920709",
"state": "NY"
}
],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.