Active NPI
Lillian Muoi Wu
- Health Service Clinic/Center
- Ny, NY
National Provider Identifier
1124383401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 187529-1
- Practice address
- 773-775 9TH Ave
Ny, NY 10019-3617 - Phone
- (212) 586-1550
- NPI assigned
- Jul 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 187529-1 | NY | Primary |
Addresses
Primary practice location
773-775 9TH Ave
Ny, NY 10019-3617
Mailing address
14935 Willets Point Blvd
Whitestone, NY 11357-3617
Phone (718) 461-5881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187529-1 | NY | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1124383401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14935 WILLETS POINT BLVD",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573617",
"telephone_number": "718-461-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "773-775 9TH AVE",
"city": "NY",
"state": "NY",
"postal_code": "100193617",
"telephone_number": "212-586-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "LILLIAN",
"middle_name": "MUOI",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NY",
"license": "187529-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.