WOODSIDE ASC LLC NPI 1629948385

NPI Information

  • NPI: 1629948385
  • Provider Name: WOODSIDE ASC LLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 69-28 QUEENS BOULEVARD
    WOODSIDE, NY
    ZIP 11377
  • Phone: (718) 309-8675

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NPI Details

WOODSIDE ASC LLC is a gastroenterology internal medicine in Woodside, NY. The provider is 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. WOODSIDE ASC LLC NPI is 1629948385. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

69-28 QUEENS BOULEVARD
WOODSIDE, NY
ZIP 11377
Phone: (718) 309-8675
Fax: (718) 400-8515

The provider's authorized official is Chuansheng Wang .
The authorized official title is President and has the following contact phone number (646) 286-6921.

The enumeration date for this NPI number is 11/7/2025 and was last updated on 11/7/2025.

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
1207RG0100XInternal MedicineGastroenterologyYes

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: 11/21/2025

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