NPIMap

Individual provider Active NPI

Maoxin Wu, M.D., PH.D.

  • Cytopathology Physician
  • Stony Brook, NY
National Provider Identifier
1043219777
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
213041 Issued in NY
Practice address
Stony Brook Pathologists Ufpc
Sbumc, BST L9, RM 140
Stony Brook, NY 11794-8691
Phone
(631) 444-3000
Fax
(631) 444-3419
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 213041 NY
Cytopathology Physician 207ZC0500X 213041 NY Primary

Addresses

Primary practice location

Stony Brook Pathologists Ufpc
Sbumc, BST L9, RM 140
Stony Brook, NY 11794-8691

Mailing address

Stony Brook Pathologists Ufpc
Sbumc, BST L9, Rm140
Stony Brook, NY 11794-8691
Phone (631) 444-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000304 NY Practitioner - Pathology 3870592959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11790-3407
Phone (631) 444-2222

PO Box
Suite 1559
Stony Brook, NY 11790-0989

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213041NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Pathologists, University Faculty Practice Corporation Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2014 Accepting new patients
Mount Sinai School of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

100 Nicolls Rd
Stony Brook, NY 11790
Phone (631) 444-1069

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Interoperability endpoints

  • Direct secure messaging: maoxin.wu@direct.stonybrookmedicine.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1043219777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK PATHOLOGISTS UFPC",
            "address_2": "SBUMC, BST L9, RM140",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948691",
            "telephone_number": "631-444-3000",
            "fax_number": "631-444-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK PATHOLOGISTS UFPC",
            "address_2": "SBUMC, BST L9, RM 140",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948691",
            "telephone_number": "631-444-3000",
            "fax_number": "631-444-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "MAOXIN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "213041",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NY",
            "license": "213041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.