KEVIN WANG DNP APRN PMHNP-BC NPI 1548817521

NPI Information

NPI: 1548817521
Provider Name: KEVIN WANG, DNP, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
156 BEACH 9TH ST # 2
FAR ROCKAWAY, NY
ZIP 11691
Phone: (718) 686-3149
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Kevin Wang, DNP, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Far Rockaway, NY. Kevin Wang, DNP, APRN, PMHNP-BC NPI is 1548817521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

156 BEACH 9TH ST # 2
FAR ROCKAWAY, NY
ZIP 11691-636
Phone: (718) 686-3149
Fax: (718) 686-4149

The NPI 1548817521 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2019 and was last updated on 11/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11004195	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R197562	MARYLAND	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	403308	NEW YORK	Yes
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ00974200	NEW JERSEY	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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