DR. WALLACE J. WANG (NPI# 1598924805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598924805 |
| Entity Type | Individual |
| Full Name | DR. WALLACE J. WANG |
| Credential | M.D. |
| Practice Address |
17 Elizabeth St Suite 608 New York NY 10013-4803 |
| Practice Telephone | 2122198031 |
| Practice Fax Number | 2122193903 |
| Mailing Telephone | 2122198031 |
| Mailing Fax Number | 2122193903 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2017-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
257569 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
17 ELIZABETH ST SUITE 608 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10013-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578533139 | Henry C Wong | Dentist | 17 Elizabeth St, Suite 405, New York, NY 10013-4803 | 2006-01-25 |
| 1629535794 | Wendy Yu | Optometrist | 17 Elizabeth St, # 401, New York, NY 10013-4803 | 2019-02-25 |
| 1497078430 | Evergreen Global Solutions | Durable Medical Equipment & Medical Supplies | 17 Elizabeth St, Suite 509, New York, NY 10013-4803 | 2010-03-04 |
| 1760610786 | Karena Wong | Optometrist | 17 Elizabeth St, Room 401, New York, NY 10013-4803 | 2009-06-29 |
| 1225208697 | New Yorker Dental Care PC | Dentist | 17 Elizabeth St, Suite 407, New York, NY 10013-4803 | 2008-03-02 |
| 1184803629 | Elizabeth Medical Associates, PC | Anesthesiology | 17 Elizabeth St, #608, New York, NY 10013-4803 | 2007-11-01 |
| 1699965350 | Chui Ling Chiu Bu | Massage Therapist | 17 Elizabeth St, Suite 601, New York, NY 10013-4803 | 2007-07-30 |
| 1225232614 | Stella Lou Lee, Od Pllc | Optometrist | 17 Elizabeth St, Suite 401, New York, NY 10013-4803 | 2007-06-12 |
| 1053534057 | Chi Man Shu | Ophthalmology | 17 Elizabeth St, Suite 607, New York, NY 10013-4803 | 2007-04-10 |
| 1003976960 | Downtown Gastroenterology Associates PC | Internal Medicine | 17 Elizabeth St, #608, New York, NY 10013-4803 | 2006-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1083249411 | Phoebe Richman | Social Worker | 121 Ave of The Americas, New York, NY 10013 | 2020-03-05 |
| 1366087868 | Kelsey C Sjolund | Speech-Language Pathologist | Speak Out New York, 100 Reade Street C/o Gymboree, Tribeca, NY 10013 | 2019-11-08 |
| 1720560717 | Julia I Pema Dolma Gutman | Social Worker | 85 Bayard St, Suite 4, New York, NY 10013 | 2018-09-05 |
| 1881187169 | Markus Burrell | Social Worker | 350 Canal St # 574p, New York, NY 10013 | 2018-06-11 |
| 1659879799 | Shui-fong Chong | Acupuncturist | 139 Centre Street, Suite 315, New York, NY 10013 | 2018-01-23 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1528570397 | Lauren Haythe | Acupuncturist | 481 Broadway, Suite 3, Manhattan, NY 10013 | 2017-11-01 |
| 1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
| Find all providers in zip 10013 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1225490477 | Lawrence Franklin Braly | Internal Medicine | 114 Horatio St, 310, New York, NY 10014-1574 | 2016-03-27 |
| 1740693589 | Yaniuska Lescaille | Internal Medicine | 630 W 168th St Rm P&s3-401, New York, NY 10032-3725 | 2014-06-10 |
| 1003233966 | Kohtaro Ooka | Internal Medicine | 530 1st Ave # Hcc4g, New York, NY 10016-6402 | 2014-03-27 |
| 1700201449 | Centre Street Surgery Pllc | Internal Medicine | 139 Centre St Ste 609, New York, NY 10013-4556 | 2014-03-04 |
| 1063844256 | John Chi To Wong | Internal Medicine | 1233 York Ave Apt 15p, New York, NY 10065-6342 | 2013-07-30 |
| 1851735419 | Jonathan Dov Weinberger | Internal Medicine | 145 E 32nd St Fl 3, New York, NY 10016-6055 | 2013-04-24 |
| 1043585227 | Jordan Eric Axelrad | Internal Medicine | 240 E 38th St Fl 23, New York, NY 10016 | 2012-03-20 |
| 1841562758 | Aaa Gastrointestinal PC | Internal Medicine | 499 Fort Washington Ave, Suite Pe1c, New York, NY 10033 | 2012-02-08 |
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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.