DR. JIAN WANG (NPI# 1356402093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356402093 |
| Entity Type | Individual |
| Full Name | DR. JIAN WANG |
| Credential | M.D., PH.D. |
| Practice Address |
151 Knollcroft Rd Extended Care Line Lyons NJ 07019 |
| Mailing Address |
645 Willow Grove Rd Westfield NJ 07090-3519 |
| Practice Telephone | 8327663990 |
| Mailing Telephone | 8327663990 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | M5568 | TX | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
25MA08379000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | K3204660 | 05 | |
| TX | 186598202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316337199 | Jian Wang | Specialist | 18 Avenue V, Apt 5f, Brooklyn, NY 11223-4253 | 2015-01-30 |
| 1417288168 | Jian Wang | Obstetrics & Gynecology | 350 E 17th St Rm 30, New York, NY 10003-3805 | 2010-01-20 |
| 1528043882 | Jian Wang | Pediatrics | 4100 Fairway Dr, Suite 300, Carrollton, TX 75010-6525 | 2005-12-09 |
| Street Address |
151 KNOLLCROFT RD EXTENDED CARE LINE |
| City | LYONS |
| State | NJ |
| Zip Code | 07019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801882048 | Leonard Partanna | Pharmacist | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2005-09-22 |
| 1811511066 | Gina Bryant | Specialist/Technologist | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2020-06-03 |
| 1326667932 | Laura Smith | Social Worker | 151 Knollcroft Rd, 3rd Floor Bldg 53, Lyons, NJ 07939 | 2020-04-14 |
| 1689201337 | Lisa Kebalo-walker | Registered Nurse | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2020-03-24 |
| 1013543180 | Yun M Lee | Social Worker | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2020-03-20 |
| 1699313759 | Meghan Ledrew | Social Worker | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2019-12-19 |
| 1801458120 | Brian Deoliveira | Social Worker | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2019-07-08 |
| 1194389890 | Jessica Barrows | Counselor | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2019-04-28 |
| 1740843143 | Charmaine H Mclawrence | Social Worker | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2019-04-21 |
| 1356803092 | Damon Omar Colbaert | Social Worker | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710117114 | Janet Macdonnell | Spec/Tech, Cardiovascular | 385 Treemont Avenue, East Orange Campus/vascular Lab #112, East Orange, NJ 07019 | 2009-07-20 |
| 1447287354 | Joseph Zuback | Radiology | V.a. Medical Center Department of Radiology, 385 Tremont Ave., East Orange, NJ 07019 | 2006-06-27 |
| 1982615621 | Foster Garcia | Social Worker | 385 Tremont Ave, East Orange, NJ 07019 | 2006-08-10 |
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538643150 | Gemini Health and Rehabilitation, LLC | Family Medicine | 51 Kinglet Dr S, Cranbury, NJ 08512-2133 | 2018-09-19 |
| 1962820365 | Kledia Blloshmi | Family Medicine | 435 South St Ste 390, Morristown, NJ 07960 | 2014-04-02 |
| 1891124996 | Best Doctors LLC | Family Medicine | 98 James St Ste 103, Edison, NJ 08820-3902 | 2013-11-08 |
| 1346582103 | Frank A.e Bonifacio | Family Medicine | 87 Waterman Ave, Rumson, NJ 07760-2038 | 2013-03-20 |
| 1497090872 | Health Sympl Inc. | Family Medicine | 2709 Route 130, Cranbury, NJ 08512-3137 | 2012-12-11 |
| 1700174166 | Dennie Bryant | Family Medicine | 91 Kingsbridge Dr, Lumberton, NJ 08048-5033 | 2011-07-19 |
| 1720234982 | Visiting Doctors of New Jersey, LLC | Family Medicine | 1421 Summit Avenue, Toms River, NJ 08753 | 2008-08-07 |
| 1497959696 | Zareen Taj Syed | Family Medicine | 629 Amboy Ave Fl 3, 302, Edison, NJ 08837-3579 | 2007-06-12 |
| 1396954145 | Gretchen B. Fahrenbruch | Family Medicine | 54 Montgomery St, Princeton Jct, NJ 08550-1335 | 2007-05-21 |
| 1114060647 | Joseph F Dougherty | Family Medicine | 17 Emerson Dr, Cinnaminson, NJ 08077-4059 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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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.