Individual provider Active NPI

Aijuan Wang, MD

  • Pediatrics Physician
  • Edison, NJ
National Provider Identifier
1992850820
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA074929 Issued in NJ
Practice address
2 Lincoln Highway
Suite 500
Edison, NJ 08820
Phone
(732) 516-9868
Fax
(732) 516-9869
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA074929 NJ Primary

Addresses

Primary practice location

2 Lincoln Highway
Suite 500
Edison, NJ 08820

Mailing address

2 Lincoln Highway
Suite 500
Edison, NJ 08820
Phone (732) 516-9868

Other identifiers 1

IdentifierTypeStateIssuer
0035092MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000727 NJ Practitioner - Pediatric MedicinePractitioner - Family Practice 5991797938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

2 Lincoln Hwy
Suite 510
Edison, NJ 08820-3904
Phone (732) 516-9868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA074929NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fidelis Medical Group LLC Current Accepting new patients
Comprehensive Pediatrics, PC Pediatrics CurrentSince Feb 9, 2021 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Mar 1, 2025 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

2 State Route 27
Ste 510
Edison, NJ 08820
Phone (732) 516-9868

2 State Route 27
Ste 500
Edison, NJ 08820
Phone (732) 516-9868

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

175 High St
Newton, NJ 07860
Phone (973) 383-2121

567 Fischer Blvd
Toms River, NJ 08753
Phone (732) 280-2727

565 Fischer Blvd
Toms River, NJ 08753
Phone (732) 506-6868

3350 State Route 138
Ste 128
Wall Township, NJ 07719
Phone (732) 280-2727

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1992850820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HIGHWAY",
            "address_2": "SUITE 500",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-516-9868",
            "fax_number": "732-516-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HIGHWAY",
            "address_2": "SUITE 500",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-516-9868",
            "fax_number": "732-516-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "AIJUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA074929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035092",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.