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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JIA-DER JU WANG MD
NPI 1083317291
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Active since March 24, 2023
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CRITICAL CARE MEDICINE, PHILADELPHIA, PA 19104(800) 879-2467 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2026, Mar 28, 2023, Mar 24, 2023 (3 updates tracked since 2023).

About Jia-der Ju Wang Md NPPES

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

JIA-DER JU WANG MD (NPI 1083317291) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT236000) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1083317291
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameJIA-DER JU WANGCredential: MD
Location Address3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CRITICAL CARE MEDICINEPhiladelphia, PA 19104
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (800) 879-2467
Phone(800) 879-2467
Sole ProprietorNo
Enumeration DateMarch 24, 2023
Last NPPES UpdateJuly 5, 20263 updates tracked since enumeration
NPPES CertifiedJuly 5, 2026
✔ NPI 1083317291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in PA · MT236000
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Names 1

Professional Name (2)Jia Ju Wang Md

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Jia-der Ju Wang's NPI number?

The NPI number for Jia-der Ju Wang is 1083317291. It was assigned to this individual provider in the NPPES registry on March 24, 2023. The provider is also known as Jia Ju Wang MD.

Where is Jia-der Ju Wang located?

Jia-der Ju Wang practices at 3401 Civic Center Blvd Division Of Pediatric Critical Care Medicine, Philadelphia, PA 19104. The listed phone number is (800) 879-2467.

What is Jia-der Ju Wang's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Jia-der Ju Wang was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.