Active NPIIndividual providerSole proprietor

Dr. Jian Wang, MD, PHD

Family Medicine, Geriatric Medicine in Lyons, New Jersey

NPI Number1356402093
Practice location
151 Knollcroft RD, Extended Care Line, Lyons, NJ 07019
Fax
—
Last updated
September 17, 2008

Jian Wang is a Family Medicine, Geriatric Medicine based in Lyons, NJ. Jian Wang practices in Lyons, NJ and has the professional credentials of MD, PHD. The NPI Number for Jian Wang is 1356402093 and holds a License No. 25MA08379000 (NJ). The current practice location address for Jian Wang is 151 Knollcroft RD, Extended Care Line, Lyons, NJ 07019 and can be reached out via phone at 832-766-3990.

Provider Profile Details

NPI Number
1356402093
Provider Name
Jian Wang
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Female
Address
151 Knollcroft RD, Extended Care Line, Lyons, NJ 07019
Phone Number
832-766-3990
Primary Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X
Sole Proprietor
Yes
Provider Enumeration Date
December 13, 2006
Last Update Date
September 17, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Knollcroft RD
Extended Care Line
Lyons, NJ 07019
City
Lyons
Zip
07019
Phone Number
832-766-3990
Lyons, NJ 07019Get directions →

Provider Business Mailing Address Details

Address
645 Willow Grove RD
Westfield, NJ 07090-3519
City
Westfield
State
NJ
Zip
07090-3519
Phone Number
832-766-3990

License Information

License Number (1)
25MA08379000
License State (1)
NJ
Taxonomy (1)
Family Medicine, Geriatric Medicine · 207QG0300X · Primary
License Number (2)
M5568
License State (2)
TX
Taxonomy (2)
Family Medicine · 207Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jian Wang, MD, PHD?

The NPI number of Dr. Jian Wang, MD, PHD is 1356402093. It was assigned on December 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jian Wang, MD, PHD?

Dr. Jian Wang, MD, PHD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in NJ under license number 25MA08379000.

Where does Dr. Jian Wang, MD, PHD practice?

The practice location is 151 Knollcroft RD, Extended Care Line, Lyons, NJ 07019. The office can be reached at 832-766-3990 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356402093 directly on the NPPES registry website.

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