Individual provider Active NPI

Yaqing Wu, M.D

  • Anesthesiology Physician
  • Bayside, NY
National Provider Identifier
1205015161
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
231513 Issued in NY
Practice address
4210 205TH St
Bayside, NY 11361-2635
Phone
(646) 578-2593
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 231513 NY Primary

Addresses

Primary practice location

4210 205TH St
Bayside, NY 11361-2635

Mailing address

4210 205TH St
Bayside, NY 11361-2635
Phone (646) 578-2593

Other identifiers 1

IdentifierTypeStateIssuer
231513OtherNYLICENCE

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
I20040615001217 NY Practitioner - Anesthesiology 6800870155 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Endoscopy PLLCGroup PAC ID 8921139254, 3 clinicians

Practice addresses (Care Compare)

13347 Sanford Ave
Suite 1C
Flushing, NY 11355-5816
Phone (817) 461-9779

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Endoscopy PLLC CurrentSince Apr 18, 2024 Accepting new patients
Sanford Medical Care, PLLC Anesthesiology CurrentSince Apr 18, 2024 Accepting new patients
Queens Boulevard ASC LLC CurrentSince Nov 16, 2016 Accepting new patients
Seo Jin Medical Care PC Anesthesiology CurrentSince Dec 24, 2016 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients

Locations

13347 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 461-9779

13602 Roosevelt Ave
Bsmt
Flushing, NY 11354
Phone (718) 886-6648

9525 Queens Blvd
Frnt 3
Rego Park, NY 11374
Phone (718) 406-8000

Organizations & group practices 6

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1205015161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 205TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612635",
            "telephone_number": "646-578-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 205TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612635",
            "telephone_number": "646-578-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "YAQING",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "231513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "231513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.