Active NPI
Qin Wang
- Anesthesiology Physician
- Pomona, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA07562400
- Practice address
- 65 Jimmie Leeds Road
Pomona, NJ 08240 - Phone
- (609) 748-7088
- NPI assigned
- Jun 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA07562400 | NJ | Primary |
Addresses
Primary practice location
65 Jimmie Leeds Road
Pomona, NJ 08240
Mailing address
255 W Michigan Ave
PO Box 1123
Jackson, MI 49201-2218
Phone (517) 787-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 652-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.93 of 100
- Quality
- 75.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 57.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07562400 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Anesthesiology | Current | Accepting new patients |
Locations
255 W Michigan Ave
Jackson, MI 49201
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ARMC Anesthesiologists
- Anesthesiology Physician
- Pomona, NJ
- NPI 1710930102
-
dba Atlanticare Commuity Pharmacy - Atlantic City
- Community/Retail Pharmacy
- Atlantic City, NJ
- NPI 1235677378
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972530012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"address_2": "PO BOX 1123",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 JIMMIE LEEDS ROAD",
"city": "POMONA",
"state": "NJ",
"postal_code": "08240",
"telephone_number": "609-748-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "QIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA07562400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NJ
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.