SHUDAN WANG (NPI# 1831432780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831432780 |
| Entity Type | Individual |
| Full Name | SHUDAN WANG |
| Credential | M.D. |
| Practice Address |
495 Central Park Ave Scarsdale NY 10583 |
| Mailing Address |
495 Central Park Ave Scarsdale NY 10583-1068 |
| Practice Telephone | 8666338255 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2018-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
293017 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 E 210th St, Bronx, NY 104672401 | 7189204321 | |
| 150 White Plains Rd, Tarrytown, NY 105915535 | 9146312895 |
| Street Address |
495 CENTRAL PARK AVE |
| City | SCARSDALE |
| State | NY |
| Zip Code | 10583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205206 | David L Berger | Physical Therapist | 495 Central Park Ave, Suite 202, Scarsdale, NY 10583-1068 | 2005-09-14 |
| 1720517154 | Westchester Physical Therapy, Pllc | Physical Therapist | 495 Central Park Ave, Ste 206, Scarsdale, NY 10804 | 2017-06-08 |
| 1144657024 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 495 Central Park Ave, Suite 207, Scarsdale, NY 10583-1068 | 2013-10-08 |
| 1932536810 | Pediatric Endocrinology of New York P.c | Pediatrics | 495 Central Park Ave, Suite 208, Scarsdale, NY 10583-1068 | 2013-10-08 |
| 1538501788 | Central Avenue Office-based Surgery, P.C. | Clinic/Center | 495 Central Park Ave, Suite 305b, Scarsdale, NY 10583-1068 | 2013-07-29 |
| 1942540281 | Mitchell Steinberg | Dentist | 495 Central Park Ave, Scarsdale, NY 10583-1068 | 2013-02-24 |
| 1033494620 | Vadim Vilensky | Clinical Exercise Physiologist | 495 Central Park Ave, Suite 207, Scarsdale, NY 10583-1068 | 2011-10-15 |
| 1124327135 | New York Oral Maxillofacial and Implant Surgery P.C. | Oral & Maxillofacial Surgery | 495 Central Park Ave, Suite 201, Scarsdale, NY 10583-1068 | 2011-03-17 |
| 1639479736 | Manish Ramesh | Allergy & Immunology | 495 Central Park Ave, Scarsdale, NY 10583-1068 | 2010-10-24 |
| 1417114497 | Montefiore Medical Center | Internal Medicine | 495 Central Park Ave, Scarsdale, NY 10583-1068 | 2008-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
| 1255805891 | Alexa Rose Wernick | Social Worker | 14 Harwood Ct Ste 512514, Scarsdale, NY 10583 | 2019-01-16 |
| 1295205854 | Christiaan Greer | Psychologist | 109 Montgomery Road Suite 203, Scarsdale, NY 10583 | 2018-11-27 |
| 1528537891 | Mobility Pro Pt PC | Physical Therapist | 783 White Plains Rd, Scarsdale, NY 10583 | 2018-11-16 |
| 1255832218 | Rochelle Sanders | Psychologist | 235 Nelson Road, Scarsdale, NY 10583 | 2018-02-26 |
| 1750808408 | Amy L Mittelstadt | Specialist | 9 Sentry Place Tr, Scarsdale, NY 10583 | 2017-08-24 |
| 1356861017 | Amanda Marie Rocco | Pharmacist | 1064 Wilmot Road, Scarsdale, NY 10583 | 2017-06-23 |
| 1609246065 | Safeta Kolenovic | Licensed Practical Nurse | 441 North Central Park Ave., #872, Scarsdale, NY 10583 | 2015-09-29 |
| 1003293168 | Scarsdale Dental Group | Dentist | 14 Harwood Ct., Ste 211, Scarsdale, NY 10583 | 2015-04-28 |
| 1417343484 | Parviz Lalezari | Internal Medicine | One Church Lane, Scarsdale, NY 10583 | 2015-04-07 |
| Find all providers in zip 10583 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1518183847 | Joyce Reyes Thomas | Internal Medicine | 259 Heathcote Rd, Scarsdale, NY 10583-4523 | 2007-04-17 |
| 1922024975 | Elizabeth Reinitz | Internal Medicine | 259 Heathcote Rd, Scarsdale, NY 10583-4523 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195077 | New York Rheumatology Care, PC | Internal Medicine | 1020 Park Ave Fl 1, New York, NY 10028-0913 | 2020-05-08 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1730601196 | New York University | Internal Medicine | 333 East 38th Street, New York, NY 10016 | 2017-07-07 |
| 1023539566 | New York University | Internal Medicine | 233 Broadway Ste 620, New York, NY 10279-0001 | 2017-07-06 |
| 1851846240 | Bernard Joffe | Internal Medicine | 10 Paula Pl, Chappaqua, NY 10514-1632 | 2016-08-16 |
| 1811377989 | Liliya Gandrabur | Internal Medicine | 4422 Third Ave Mills Bldg 3rd Fl, Dept of Internal Medicine, Bronx, NY 10457 | 2015-06-04 |
| 1568859007 | Varun Bhalla | Internal Medicine | 17 E 102nd St Ste 4d, New York, NY 10029 | 2015-04-22 |
| 1992195283 | Northeast Rheumatology PC | Internal Medicine | 85-49 Eliot Avenue Unit G, Rego Park, NY 11374 | 2015-01-26 |
| 1679962542 | Craig Smuda | Internal Medicine | 324 E 23rd St Fl 1, New York, NY 10010-4701 | 2015-01-15 |
| 1174927925 | Bradley Schlussel | Internal Medicine | 424 W Park Ave, 2nd Floor, Long Beach, NY 11561-3129 | 2014-10-22 |
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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.