SALLY WEN MD
NPI 1063156669
Internal Medicine in Brooklyn, NY
About Sally Wen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALLY WEN MD (NPI 1063156669) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (332788) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Temple University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sally Wen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Sally Wen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11220
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Evergreen Family Medical Services PC
- 5 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sally Wen's NPI number?
The NPI number for Sally Wen is 1063156669. It was assigned to this individual provider in the NPPES registry on April 21, 2022.
Where is Sally Wen located?
Sally Wen practices at 743 58th St, Brooklyn, NY 11220. The listed phone number is (718) 765-0088.
What is Sally Wen's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sally Wen enrolled in Medicare?
Yes. Sally Wen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sally Wen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sally Wen reassigns Medicare benefits to 2 organizations: Evergreen Family Medical Services,p.C. (Brooklyn, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sally Wen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sally Wen affiliated with any hospitals?
According to CMS data, Sally Wen is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Sally Wen was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sally Wen, MD · NPI 1063156669
Internal Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since April 21, 2022.
## Identity
- **NPI:** 1063156669 (Entity type: Individual)
- **Enumerated:** April 21, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 332788 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 743 58TH ST, Brooklyn, NY 11220-3916
- **Phone:** (718) 765-0088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Evergreen Family Medical Services,p.C. (NPI 1891761243, Brooklyn, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063156669) · Data from the CMS NPPES public registry.