DR. QING YU WENG (NPI# 1174974968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174974968 |
| Entity Type | Individual |
| Full Name | DR. QING YU WENG |
| Credential | M.D. |
| Practice Address |
330 Mount Auburn St Cambridge MA 02138-5502 |
| Mailing Address |
50 Staniford St Boston MA 02114-2517 |
| Practice Telephone | 6174923250 |
| Mailing Telephone | 6177262000 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 283002 | MA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 268109 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
330 MOUNT AUBURN ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859762 | Susan A Abookire | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2005-05-31 |
| 1013515279 | Alaaeldin Ahmed | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2020-10-10 |
| 1447863618 | Omar Hamzeh Al Omari | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-08-27 |
| 1043833221 | Nicholas D Gottshall | Physician Assistant | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-22 |
| 1881217263 | Claire C Alexanian | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2020-05-20 |
| 1689297087 | Arun Cumpelik | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-20 |
| 1104448125 | Alireza Ghajar | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-13 |
| 1902427768 | Alexis Sholtis | Social Worker | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-04 |
| 1043839814 | Max Joseph Wallack | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-04-13 |
| 1821617010 | Hezha Seradji Aghdam | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528113883 | Ranella Hirsch | Dermatology | 777 Concord Ave Ste 206, Cambridge, MA 02138-1053 | 2007-01-24 |
| 1366416810 | Kenneth Patrick Judd | Dermatology | 100 Bramble St, Suite 1, Cambridge, MD 21613-2408 | 2006-02-13 |
| 1558594168 | Kenneth P. Judd, M.d., Ph.d. and Associates LLC | Dermatology | 100 Bramble St, Suite 1, Cambridge, MD 21613-2471 | 2009-08-30 |
| 1689789646 | Shlomit Halachmi | Dermatology | 75 Mount Auburn St, 3w, Cambridge, MA 02138-4960 | 2006-08-20 |
| 1649210410 | Belmont Medical Associates, Inc. | Dermatology | 725 Concord Ave, Suite 4100, Cambridge, MA 02138-1040 | 2006-06-08 |
| 1598743601 | Ma Katrina Dy | Dermatology | 725 Concord Ave, Suite 4100, Cambridge, MA 02138-1040 | 2006-01-09 |
| 1790773828 | Kay Shou-mei Kane | Dermatology | 725 Concord Ave, Suite 4100, Cambridge, MA 02138-1040 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
| 1164069647 | Integrated Dermatology of Mashton, LLC | Dermatology | 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 | 2019-12-04 |
| 1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
| 1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
| 1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.