BO WANG DDS, MD
NPI 1962720623
Oral & Maxillofacial Surgery in Princeton, NJ

Active since May 05, 2010Opted out of Medicare · through Sep 30, 2026
281 WITHERSPOON ST STE 210, PRINCETON, NJ 08540(609) 288-2855(609) 800-8500 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2022, Sep 19, 2019 (2 updates tracked since 2019).

About Bo Wang Dds, Md NPPES

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

BO WANG DDS, MD (NPI 1962720623) is an individual oral & maxillofacial surgery provider in Princeton, New Jersey, licensed in New Jersey (22DI02634500) and active in the NPI registry since May 2010. He has opted out of Medicare through September 30, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962720623
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameBO WANGCredential: DDS, MD
Location Address281 WITHERSPOON ST STE 210Princeton, NJ 08540-3228
Mailing Address281 Witherspoon St Ste 210Princeton, NJ 08540-3228 · (609) 288-2855
Fax(609) 800-8500
Sole ProprietorYes
Enumeration DateMay 5, 2010
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
NPI 1962720623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in NJ · 22DI02634500
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
281 WITHERSPOON ST STE 210, Princeton, NJ 08540

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Bo Wang Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 30, 2022 through September 30, 2026.

Opt-Out Effective DateSeptember 30, 2022
Opt-Out In Effect ThroughSeptember 30, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
281 WITHERSPOON ST STE 210
PRINCETON, NJ 08540

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 Bo Wang's NPI number?

The NPI number for Bo Wang is 1962720623. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Where is Bo Wang located?

Bo Wang practices at 281 Witherspoon St Ste 210, Princeton, NJ 08540. The listed phone number is (609) 288-2855.

What is Bo Wang's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Bo Wang enrolled in Medicare?

No. Bo Wang has opted out of Medicare through September 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Bo Wang accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Bo Wang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bo Wang was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.