Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Jiawei Wang, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013611342

Jack Jiawei Wang, MD is a Student in an Organized Health Care Education/Training Program in New Hyde Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

27005 76th Ave
New Hyde Park, NY 11040-1402
Phone: (718) 470-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 345753 (NY)

Record details

NPI number1013611342
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2023
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

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