DR. RAPHAEL P. WANG (NPI# 1306819529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306819529 |
| Entity Type | Individual |
| Full Name | DR. RAPHAEL P. WANG |
| Credential | M.D. |
| Practice Address |
2733 Wehrle Dr. Suite 100 Williamsville NY 14221 |
| Practice Telephone | 7166313510 |
| Practice Fax Number | 7166319627 |
| Mailing Telephone | 7166313510 |
| Mailing Fax Number | 7166319627 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2010-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
178787-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01163588 | 05 |
| Street Address |
2733 WEHRLE DR. SUITE 100 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285719518 | Nancy Panzica | Nurse Practitioner | 2733 Wehrle Dr., Suite 100, Williamsville, NY 14221 | 2006-10-26 |
| 1720163082 | Christine R Quinn-schrader | Nurse Practitioner | 2733 Wehrle Dr., Suite 100, Williamsville, NY 14221 | 2006-10-26 |
| 1861577108 | Noreen Gaske | Nurse Practitioner | 2733 Wehrle Dr., Suite 100, Williamsville, NY 14221 | 2006-10-26 |
| 1811927122 | Kelly Anne Naab | Nurse Practitioner | 2733 Wehrle Dr., Suite 100, Williamsville, NY 14221 | 2006-07-03 |
| 1568437853 | Denise Sokolofsky | Pediatrics | 2733 Wehrle Dr., Suite 100, Williamsville, NY 14221 | 2006-02-21 |
| 1427022623 | Marie Kessler | Legal Medicine | 2733 Wehrle Dr., Suite 100, Williamsville, NY 14221 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700858313 | Rebecca Daniels | Pediatrics | 2733 Wehrle Dr, Suite 100, Williamsville, NY 14221-7348 | 2006-02-07 |
| 1114014826 | Williamsville Pediatric Center | Pediatrics | 6333 Main St, Williamsville, NY 14221-5800 | 2006-10-06 |
| 1568437853 | Denise Sokolofsky | Pediatrics | 2733 Wehrle Dr., Suite 100, Williamsville, NY 14221 | 2006-02-21 |
| 1659343267 | Lynn M Taraboletti | Pediatrics | 2733 Wehrle Dr, Suite 100, Williamsville, NY 14221 | 2006-02-07 |
| 1710959333 | Jayson Roland | Pediatrics | 2733 Wehrle Dr, Suite 100, Williamsville, NY 14221 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
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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.