JUSTIN WANG MD
NPI 1104629252
Student in an Organized Health Care Education/Training Program in Boston, MA
About Justin Wang Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN WANG MD (NPI 1104629252) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justin Wang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
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 Justin Wang's NPI number?
The NPI number for Justin Wang is 1104629252. It was assigned to this individual provider in the NPPES registry on March 31, 2025.
Where is Justin Wang located?
Justin Wang practices at 1 Boston Medical Ctr Pl Ste 1, Boston, MA 02118. The listed phone number is (617) 638-8000.
What is Justin Wang's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Justin Wang enrolled in Medicare?
Yes. Justin Wang is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Justin Wang was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.
# Justin Wang, MD · NPI 1104629252
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 31, 2025.
## Identity
- **NPI:** 1104629252 (Entity type: Individual)
- **Enumerated:** March 31, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 BOSTON MEDICAL CTR PL STE 1, Boston, MA 02118-2999
- **Phone:** (617) 638-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104629252) · Data from the CMS NPPES public registry.