Individual provider Active NPI

Wanzhu Tang, M.D.

  • Internal Medicine Physician
  • Maple Glen, PA
National Provider Identifier
1982645966
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-070052-L Issued in PA
Practice address
858 E. Welsh Rd
Suite 10
Maple Glen, PA 19002
Phone
(215) 283-2838
Fax
(215) 283-9978
NPI assigned
Jun 9, 2006
Last updated
Aug 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-070052-L PA Primary

Addresses

Primary practice location

858 E. Welsh Rd
Suite 10
Maple Glen, PA 19002

Mailing address

P.O. Box 26
Ft Washington, PA 19034-0026
Phone (215) 283-2838

Other identifiers 1

IdentifierTypeStateIssuer
MD-070052-LOtherPALICENSE NUMBER OF PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110111000442 PA Practitioner - Internal Medicine 8123055514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-070052-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mydoc Urgent Care CurrentSince Aug 1, 2015 Accepting new patients
Mydoc Urgent Care Chinatown PastSince Sep 25, 2019 Accepting new patients
Primary Care Group Chinatown PastSince Sep 25, 2019 Accepting new patients

Locations

1501 N Broad St
Ste 10
Philadelphia, PA 19122
Phone (267) 457-5553

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1982645966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 26",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190340026",
            "telephone_number": "215-283-2838",
            "fax_number": "215-283-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 E. WELSH RD",
            "address_2": "SUITE 10",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-283-2838",
            "fax_number": "215-283-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "WANZHU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-070052-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER OF PA",
            "identifier": "MD-070052-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Glen, PA

Sources for this page

Verify at the official NPI Registry.