JACK JY WANG MD
NPI 1891637492
Student in an Organized Health Care Education/Training Program in Baton Rouge, LA

Active since April 06, 2026PECOS Enrolled
5246 BRITTANY DR, BATON ROUGE, LA 70808(225) 757-4080 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Jy Wang Md NPPES

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

JACK JY WANG MD (NPI 1891637492) is an individual student in an organized health care education/training program in Baton Rouge, Louisiana and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891637492
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK JY WANGCredential: MD
Location Address5246 BRITTANY DRBaton Rouge, LA 70808-9136
Mailing Address5246 Brittany DrBaton Rouge, LA 70808-9136 · (225) 757-4080
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
NPI 1891637492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5246 BRITTANY DR, Baton Rouge, LA 70808

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jack Jy Wang Md 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.

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.

Emergency Medicine
5246 BRITTANY DR
BATON ROUGE, LA 70808
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
Emergency Medicine
5246 BRITTANY DR
BATON ROUGE, LA 70808
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808

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 Jack Wang's NPI number?

The NPI number for Jack Wang is 1891637492. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Jack Wang located?

Jack Wang practices at 5246 Brittany Dr, Baton Rouge, LA 70808. The listed phone number is (225) 757-4080.

What is Jack 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 Jack Wang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jack Wang was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.