Individual provider Active NPI

Karen E Wang, M.D.

  • Pediatric Adolescent Medicine Physician
  • West Reading, PA
National Provider Identifier
1992775308
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD420653 Issued in PA
Practice address
206 S 6TH Ave
Children'S Health Center
West Reading, PA 19611-1411
Phone
(484) 628-5437
Fax
(484) 628-5438
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD420653 PA Primary

Addresses

Primary practice location

206 S 6TH Ave
Children'S Health Center
West Reading, PA 19611-1411

Mailing address

206 S 6TH Ave
Children'S Health Center
West Reading, PA 19611-1411
Phone (484) 628-5437

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
I20050224000357 PA Practitioner - Pediatric Medicine 8123071602 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420653PAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Community Health Center CurrentSince May 17, 2019 Accepting new patients
Berks Community Health Center CurrentSince May 17, 2019 Accepting new patients

Locations

1110 Rockland St
Reading, PA 19604
Phone (610) 988-3848

1040 Liggett Ave
Reading, PA 19611
Phone (610) 775-1431

838 Penn St
Reading, PA 19602
Phone (610) 988-4838

645 Penn St
Ste 301
Reading, PA 19601
Phone (484) 772-4073

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1992775308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S 6TH AVE",
            "address_2": "CHILDREN'S HEALTH CENTER",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111411",
            "telephone_number": "484-628-5437",
            "fax_number": "484-628-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S 6TH AVE",
            "address_2": "CHILDREN'S HEALTH CENTER",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111411",
            "telephone_number": "484-628-5437",
            "fax_number": "484-628-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD420653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.