DR. GERALD JEH WANG (NPI# 1366609430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366609430 |
| Entity Type | Individual |
| Full Name | DR. GERALD JEH WANG |
| Credential | M.D. |
| Practice Address |
5645 Main St W-ll300 Flushing NY 11355-5045 |
| Mailing Address |
56-45 Main Street W-ll300 Flushing NY 11355-5045 |
| Practice Telephone | 7184450220 |
| Practice Fax Number | 7189391167 |
| Mailing Telephone | 7183033720 |
| Mailing Fax Number | 7189391167 |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2015-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 235036 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03166878 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639630874 | Gerald Wang | Surgery | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2019-03-29 |
| Street Address |
5645 MAIN ST W-LL300 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094400 | Maryanne Chin | Nurse Anesthetist, Certified Registered | 5645 Main St, Flushing, NY 11355-5045 | 2005-06-28 |
| 1093315160 | Ashlee Mishae Dillon | Registered Nurse | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-28 |
| 1275131229 | Dakai Liu | Spec/Tech, Pathology | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-13 |
| 1194322552 | Priyamvada Pillai | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-07 |
| 1831705078 | Justine Chirichella | Dietitian, Registered | 5645 Main St, Flushing, NY 11355-5045 | 2020-09-22 |
| 1063037422 | Chuhyun Jana Myong | Pharmacist | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-11 |
| 1427673169 | Isabel Yuabov | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-09 |
| 1174147011 | Philemon Chu | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-06 |
| 1710501044 | Lea Chernoff | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-02 |
| 1639793201 | Jiawen Huang | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2020-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710206610 | Anthony C Bottone Md PC | Urology | 45-28 Parsons Blvd., Flushing, NY 11355-2219 | 2010-05-18 |
| 1174688964 | Louis Thomas Cornacchia | Urology | 4528 Parsons Blvd, Flushing, NY 11355-2252 | 2006-12-22 |
| 1477630440 | John H Won | Urology | 4161 Kissena Blvd Ste 1b, Flushing, NY 11355-3105 | 2006-11-01 |
| 1891702718 | Chin W Chung | Urology | 147-01 41st Ave, Flushing, NY 11355-1248 | 2006-08-02 |
| 1316987845 | Antony Sc Chen | Urology | 13443 Maple Ave, Suite 1a, Flushing, NY 11355-4527 | 2006-06-06 |
| 1073506713 | Edwin C Tan | Urology | 13626 37th Ave, Flushing, NY 11354-6533 | 2005-08-29 |
| 1598763377 | Robert M Farrell | Urology | 56 45 Main Street, W-ll300, Flushing, NY 11355-5045 | 2005-07-14 |
| 1942208830 | Albert P Tarasuk | Urology | 5842 Main St, Flushing, NY 11355-5336 | 2005-07-13 |
| 1629416664 | Yongpeng Gu | Urology | 13668 Roosevelt Ave Ste 4c, Flushing, NY 11354-5510 | 2013-06-12 |
| 1619283322 | Urological Care At Flushing PC | Urology | 136-20 38th Avenue, Unit 7f, Flushing, NY 11354-4232 | 2010-08-19 |
| Find all providers in FLUSHING | ||||
Please comment or provide details below to improve the information on DR. GERALD JEH WANG.
| 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.