1. Home
  2. Directory
  3. New York
  4. New Hyde Park
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACK JIAWEI WANG MD
NPI 1013611342
Student in an Organized Health Care Education/Training Program in New Hyde Park, NY

Active since March 29, 2023
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-3000 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2026, Mar 31, 2023 (2 updates tracked since 2023).

About Jack Jiawei Wang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK JIAWEI WANG MD (NPI 1013611342) is an individual student in an organized health care education/training program in New Hyde Park, New York, licensed in New York (345753) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1013611342
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK JIAWEI WANGCredential: MD
Location Address27005 76TH AVENew Hyde Park, NY 11040-1402
Mailing Address27005 76th AveNew Hyde Park, NY 11040-1402 · (718) 470-3000
Phone(718) 470-3000
Sole ProprietorYes
Enumeration DateMarch 29, 2023
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1013611342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 345753
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
27005 76TH AVE, New Hyde Park, NY 11040
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YELENA PYATOV MD
Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7700
DR. FARHEEN HASAN MD
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
LONG ISLAND JEWISH MEDICAL CENTER
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7875
ELIZABETH ALISON HOWSE M.D.
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7501
ANDY CHOY MD
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nassau County (973) 692-8694
JOANNA M MIDY WHNP
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (516) 470-5304
XIXI XU
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
TYLER WEINSTEIN
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Wang's NPI number?

The NPI number for Jack Wang is 1013611342. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Jack Wang located?

Jack Wang practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-3000.

What is Jack Wang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Wang was last updated on July 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.