Active NPI
Da Wu Medical Practice PLLC
- Internal Medicine Physician
- Elmhurst, NY
National Provider Identifier
1144133448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DA WU MEDICAL PRACTICE PLLC
- Practice address
- 8716 Queens Blvd
Elmhurst, NY 11373-4419 - Phone
- (617) 669-8422
- NPI assigned
- Sep 26, 2026
- Last updated
- Sep 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Da Wu, MD
- Title
- Chief Executive Officer
- Phone
- (617) 669-8422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
8716 Queens Blvd
Elmhurst, NY 11373-4419
Mailing address
324 Avalon Gardens Dr
Nanuet, NY 10954-7414
Phone (617) 669-8422
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Stony Brook, NY
- NPI 1871053355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790380800000",
"number": "1144133448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 AVALON GARDENS DR",
"city": "NANUET",
"state": "NY",
"postal_code": "109547414",
"telephone_number": "617-669-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8716 QUEENS BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734419",
"telephone_number": "617-669-8422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DA WU MEDICAL PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-26",
"certification_date": "2026-09-26",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "DA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "617-669-8422",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.