Individual provider Active NPI

Amy P Wu, MD

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1033355052
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
270543 Issued in NY
Practice address
198 Canal St Ste 403
New York, NY 10013-4533
Phone
(212) 233-2266
Fax
(888) 368-1539
NPI assigned
Dec 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 270543 NY Primary

Addresses

Primary practice location

198 Canal St Ste 403
New York, NY 10013-4533

Mailing address

198 Canal St Ste 403
New York, NY 10013-4533
Phone (212) 233-2266

Other identifiers 1

IdentifierTypeStateIssuer
03950025MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216001100 NY Practitioner - Otolaryngology 6901129337 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Stanford University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

198 Canal St
Suite 403
New York, NY 10013-4533
Phone (212) 233-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
270543NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soho Otolaryngology PC Otolaryngology CurrentSince May 2, 2018 Accepting new patients
Major Hospital Past Accepting new patients

Locations

198 Canal St
Ste 403
New York, NY 10013
Phone (212) 233-2266

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1033355052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CANAL ST STE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134533",
            "telephone_number": "212-233-2266",
            "fax_number": "888-368-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CANAL ST STE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134533",
            "telephone_number": "212-233-2266",
            "fax_number": "888-368-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "AMY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "270543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03950025",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.