Provider Demographics
NPI:1891738704
Name:WANG, KAI-PING (MD)
Entity type:Individual
Prefix:DR
First Name:KAI-PING
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 UNION ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-4498
Mailing Address - Country:US
Mailing Address - Phone:201-652-5114
Mailing Address - Fax:201-652-6253
Practice Address - Street 1:174 UNION ST
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-4498
Practice Address - Country:US
Practice Address - Phone:201-652-5114
Practice Address - Fax:201-652-6253
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2014-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA078894002084P0800X, 2084P0804X
NY2230182084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH73482Medicare UPIN