Physician Compare National (NPI:1952509606)

HEALTHCARE PROVIDER: JAY WANG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952509606
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082789532
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080818000350
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WANG
	Individual professional last name
Provider First Name	JAY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	MEDICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HEMATOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HEMATOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2567356058
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	269
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	8350 SIERRA MEADOWS BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	2ND
	Group Practice or individual's line 2 address
City	NAPLES
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	341137328
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2397323140
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100286
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100018
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NAPLES COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y