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LILY WANG NP
NPI 1639566102
Nurse Practitioner - Family in Flushing, NY

Active since April 22, 2015PECOS Enrolled
13640 39TH AVE, SUITE 401, FLUSHING, NY 11354(646) 209-2822(718) 359-3838 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lily Wang Np NPPES

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

LILY WANG NP (NPI 1639566102) is an individual family provider in Flushing, New York, licensed in New York (339430) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639566102
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLILY WANGCredential: NP
Location Address13640 39TH AVE, SUITE 401Flushing, NY 11354-5536
Mailing Address13640 39th Ave, Suite 401Flushing, NY 11354-5536 · (646) 209-2822
Phone(646) 209-2822
Fax(718) 359-3838
Sole ProprietorNo
Enumeration DateApril 22, 2015
✔ NPI 1639566102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 339430
13640 39TH AVE, Flushing, NY 11354
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Wang Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lily Wang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maimonides Faculty Practice Plan
12 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700
Mmc Hematology Oncology Fpp
13 mi
Hematology & Oncology
6300 8TH AVE
Brooklyn, NY 11220
  • Reassigned Medicare billing, New York enrollment
  • 38 clinicians in this Medicare group
NPI 1598878217 (718) 283-8773

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11354 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 9

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

WEIBO MEDICAL CARE PC
Family Medicine
13640 39TH AVE, SUITE 401
FLUSHING, NY 11354
Queens County (718) 463-3838
DR. JOHN Y LIM MD
General Practice
13640 39TH AVE, SUITE 201
FLUSHING, NY 11354
Queens County (718) 878-3457
OPUS RADIOLOGY, PC
Radiology (Diagnostic Radiology)
13640 39TH AVE
FLUSHING, NY 11354
Queens County (718) 961-1700
RADIOLOGY OF FLUSHING, P.C.
Radiology (Diagnostic Radiology)
13640 39TH AVE
FLUSHING, NY 11354
Queens County (646) 450-7345
EDWIN K CHAN MD PC
Specialist
13640 39TH AVE, STE 6GB
FLUSHING, NY 11354
Queens County (718) 321-8246
DR. HUEYCHUNG GHI DDS
Dentist (General Practice)
13640 39TH AVE, SUITE#402
FLUSHING, NY 11354
Queens County (718) 886-0900
NFP HEALTH GROUP, LLC
Ophthalmology
13640 39TH AVE, SUITE 403
FLUSHING, NY 11354
Queens County (917) 627-4618
HUEYCHUNG GHI, DDS PC
Dentist (General Practice)
13640 39TH AVE, SUITE 402
FLUSHING, NY 11354
Queens County (718) 886-0900

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 Lily Wang's NPI number?

The NPI number for Lily Wang is 1639566102. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Where is Lily Wang located?

Lily Wang practices at 13640 39th Ave Suite 401, Flushing, NY 11354. The listed phone number is (646) 209-2822.

What is Lily Wang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lily Wang enrolled in Medicare?

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

Which organizations bill Medicare for Lily Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Wang reassigns Medicare benefits to 2 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY) and Mmc Hematology Oncology Fpp (Brooklyn, NY). Each 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 Lily Wang'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 Lily Wang was last updated on April 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.