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LISA JUE WANG
NPI 1285096552
Family Medicine in East Setauket, NY

Active since March 24, 2016PECOS Enrolled
21 DEER LN, EAST SETAUKET, NY 11733(631) 413-5430 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2022, Mar 24, 2016 (2 updates tracked since 2016).

About Lisa Jue Wang NPPES

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

LISA JUE WANG (NPI 1285096552) is an individual family medicine provider in East Setauket, New York, licensed in New York (299261) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285096552
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA JUE WANG
Location Address21 DEER LNEast Setauket, NY 11733-3406
Mailing Address21 Deer LnEast Setauket, NY 11733-3406 · (631) 413-5430
Phone(631) 413-5430
Sole ProprietorNo
Enumeration DateMarch 24, 2016
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1285096552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 299261
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
21 DEER LN, East Setauket, NY 11733
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Jue Wang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lisa Wang's NPI number?

The NPI number for Lisa Wang is 1285096552. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Lisa Wang located?

Lisa Wang practices at 21 Deer Ln, East Setauket, NY 11733. The listed phone number is (631) 413-5430.

What is Lisa Wang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lisa Wang enrolled in Medicare?

Yes. Lisa Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Wang was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.