Individual provider Active NPI

Wei Gu, FNP

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1154965291
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344999 Issued in NY
Practice address
13617 39TH Ave # CF-E
Flushing, NY 11354-5504
Phone
(718) 559-3600
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 344999 NY Primary

Addresses

Primary practice location

13617 39TH Ave # CF-E
Flushing, NY 11354-5504

Mailing address

14645 21St Ave
Whitestone, NY 11357-3505
Phone (917) 291-4278

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Allscript

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200828002686 NY Practitioner - Nurse Practitioner 8022435544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jun 30, 2022 Accepting new patients

Locations

13617 39th Ave
Flushing, NY 11354
Phone (718) 559-3600

13617 39th Ave
Ste Cfe
Flushing, NY 11354
Phone (718) 559-3600

13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

Networks

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

Organizations & group practices 1

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1154965291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14645 21ST AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573505",
            "telephone_number": "917-291-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13617 39TH AVE # CF-E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545504",
            "telephone_number": "718-559-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GU",
        "first_name": "WEI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Allscript",
            "affiliation": "N",
            "address_1": "13617 39th Ave # Cf-E",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113545504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.