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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENNY WANG PA
NPI 1366375768
Physician Assistant in Smithtown, NY

Active since June 04, 2026
50 NEW YORK AVE # 25A, SMITHTOWN, NY 11787(904) 372-3943(904) 212-1618 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Jun 4, 2026 (2 updates tracked since 2026).

About Kenny Wang Pa NPPES

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

KENNY WANG PA (NPI 1366375768) is an individual physician assistant in Smithtown, New York and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1366375768
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNY WANGCredential: PA
Location Address50 NEW YORK AVE # 25ASmithtown, NY 11787-3448
Mailing Address7751 Belfort Pkwy Ste 120Jacksonville, FL 32256-6921 · (904) 372-3943 · Fax (904) 212-1618
Phone(904) 372-3943
Fax(904) 212-1618
Sole ProprietorNo
Enumeration DateJune 4, 2026
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1366375768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
50 NEW YORK AVE # 25A, Smithtown, NY 11787
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Other Providers at the Same Location NPPES 17

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

MR. DONALD PETER JOHNSON
Nurse Practitioner (Family)
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
CHRISTOPHER RIO
Student in an Organized Health Care Education/Training Program
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
JINCY RAJAN MD
Student in an Organized Health Care Education/Training Program
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3748
MR. MICHAEL CRESSON NP
Nurse Practitioner (Adult Health)
50 NEW YORK AVE # 25A, CARDIAC CATH LAB
SMITHTOWN, NY 11787
Suffolk County (631) 862-3215
DAVID RAPOPORT MD
Emergency Medicine
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
COURTNEY KENNEDY DO
Emergency Medicine
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
AIDA BOUMIZA DO
Student in an Organized Health Care Education/Training Program
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3748
MONIQUE ABARCA
Nurse Practitioner
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (904) 372-3943

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 Kenny Wang's NPI number?

The NPI number for Kenny Wang is 1366375768. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Kenny Wang located?

Kenny Wang practices at 50 New York Ave # 25A, Smithtown, NY 11787. The listed phone number is (904) 372-3943.

What is Kenny Wang's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kenny Wang was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.