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Kenny Wang, PA

NPI 1366375768ActiveIndividual· Physician Assistant· Smithtown, NY

Physician Assistant (PA) in Smithtown, New York, with an NPI issued in June 2026. Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1366375768
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedJun 4, 2026
Last updated in NPPESAug 26, 2026
Certified by providerAug 26, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NY)

Medicare sources and data years

Education and affiliations

Graduation year2026
Medicare specialtyPhysician Assistant

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Smithtown

All 65 physician assistants in Smithtown · All physician assistants in New York