Individual provider Active NPI

John Tsihsian Wang, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1992899256
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234554-1 Issued in NY
Practice address
3808 Union St Ste 3F
Flushing, NY 11354-5544
Phone
(347) 248-6841
Fax
(718) 559-0927
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 234554-1 NY Primary

Addresses

Primary practice location

3808 Union St Ste 3F
Flushing, NY 11354-5544

Mailing address

3808 Union St Ste 3F
Flushing, NY 11354-5544
Phone (347) 248-6841

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000498 NY Practitioner - Internal Medicine 7113926072 Practice locations: Great Neck, NY; Jamaica, NY; Flushing, NY; Bronx, NY

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
19.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234554-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sigma Dermatology P.C. CurrentSince Mar 16, 2021 Accepting new patients

Locations

3808 Union St
Ste 3F
Flushing, NY 11354
Phone (646) 872-7148

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1992899256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 UNION ST STE 3F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545544",
            "telephone_number": "347-248-6841",
            "fax_number": "718-559-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 UNION ST STE 3F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545544",
            "telephone_number": "347-248-6841",
            "fax_number": "718-559-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JOHN",
        "middle_name": "TSIHSIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234554-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.