DR. JENNY WANG (MD) – Family Medicine Physician, NPI 1184070476

DR. JENNY WANG (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD467742 (PA). The NPI Number for DR. JENNY WANG (MD) is 1184070476

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNY WANG (MD)
NPI
1184070476
Phone
Not provided
Address
3737 MARKET STREET, 9TH FLOOR
Enumeration Date
5 May 2016
Last Update Date
24 February 2020

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
2156629990
Graduation Year
2016 (10 years ago)
PAC ID
8224365622
Group Practice PAC ID
2062326507
Professional Enrollment ID
I20190807004004
Address ID
PA191042640PH3801XSTXX311
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

6,123 FAMILY PRACTICE in PA

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Provider Addresses for DR. JENNY WANG (MD)

  • Market Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19104-2989, United States

    PHILADELPHIA, PA 191045545

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190807004004IFamily PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062326507View full group profile
NameSpecialtyState
Family PracticePA
Family PracticePA
Internal MedicinePA
Internal MedicineMA
Family PracticePA
Family PracticeOH
Internal MedicineRI
Family PracticePA
Hospitalist, Internal MedicinePA
Family PracticePA

Reviews

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Frequently asked questions

What is the standard ID for DR. JENNY WANG (MD) in the U.S.?
In the U.S., DR. JENNY WANG (MD) is identified by NPI 1184070476.
Should I treat DR. JENNY WANG (MD) as an active provider?
Patients and plans typically see DR. JENNY WANG (MD) as active in the national extract.
Which specialty label fits DR. JENNY WANG (MD)?
NPPES ties DR. JENNY WANG (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JENNY WANG (MD)?
The directory associates DR. JENNY WANG (MD) with Philadelphia, Pennsylvania. Check all listed addresses for suites or satellite offices.
Can I export DR. JENNY WANG (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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