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LE-BEN WAN MD
NPI 1356665954
Psychiatry & Neurology - Psychiatry in Long Island City, NY

Active since March 25, 2010PECOS Enrolled
4402 23RD ST STE 504, LONG ISLAND CITY, NY 11101(929) 322-4236 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Dec 24, 2017 and 1 more (4 updates tracked since 2017).

About Le-ben Wan Md NPPES

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

LE-BEN WAN MD (NPI 1356665954) is an individual psychiatry provider in Long Island City, New York, licensed in New York (261874) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2010).

NPPES Registry Identity

NPI1356665954
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameLE-BEN WANCredential: MD
Location Address4402 23RD ST STE 504Long Island City, NY 11101-5072
Mailing Address4402 23rd St Ste 504Long Island City, NY 11101-5072 · (929) 322-4236
Phone(929) 322-4236
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2010
Enumeration DateMarch 25, 2010
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1356665954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 261874
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4402 23RD ST STE 504, Long Island City, NY 11101
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Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6574 · Phone (212) 241-6500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Le-ben Wan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567790645
PECOS Enrollment IDI20190828000158
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.

Medicare Billing Reassignment

Medicare enrollment records show Le-ben Wan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Le-Ben Wan MD Phd PC
0.6 mi
Psychiatry
4402 23RD ST STE 504
Long Island City, NY 11101
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Le-Ben Wan MD Phd, P.C.
NPI 1750808051 (929) 322-4236

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11101 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
$201.98 typical visit price
range $67.00 – $201.98
Typical copayment $50.49 (range $16.75 – $50.49)
Most-billed visit code 99205
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

LE-BEN WAN MD PHD PC
Psychiatry & Neurology (Psychiatry)
4402 23RD ST STE 504
LONG ISLAND CITY, NY 11101
Queens County (929) 322-4236
ANNA BOYNTON LCSW, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4402 23RD ST STE 504
LONG ISLAND CITY, NY 11101
Queens County (434) 546-6228

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 Le-ben Wan's NPI number?

The NPI number for Le-ben Wan is 1356665954. It was assigned to this individual provider in the NPPES registry on March 25, 2010.

Where is Le-ben Wan located?

Le-ben Wan practices at 4402 23rd St Ste 504, Long Island City, NY 11101. The listed phone number is (929) 322-4236.

What is Le-ben Wan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Le-ben Wan enrolled in Medicare?

Yes. Le-ben Wan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Le-ben Wan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Le-ben Wan reassigns Medicare benefits to Le-Ben Wan MD Phd PC (Long Island City, NY). The 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 Le-ben Wan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Le-ben Wan was last updated on July 21, 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.