Active NPI
King Yin Wu, DDS
- General Practice Dentistry
- Parsippany, NJ
National Provider Identifier
1235765710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02838500
- Practice address
- 362 Parsippany Rd
Parsippany, NJ 07054-5102 - Phone
- (973) 428-1515
- NPI assigned
- Mar 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 22DI02838500 | NJ | Primary |
Addresses
Primary practice location
362 Parsippany Rd
Parsippany, NJ 07054-5102
Mailing address
100 Park Ave Apt 1204
Fort Lee, NJ 07024-3828
Other practice location 1
622 W 168th St
New York, NY 10032-3720
Phone (212) 305-2862
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 |
|---|---|---|---|
| 22DI02838500 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1235765710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARK AVE APT 1204",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "362 PARSIPPANY RD",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070545102",
"telephone_number": "973-428-1515"
}
],
"practiceLocations": [
{
"address_1": "622 W 168th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323720",
"country_code": "US",
"telephone_number": "212-305-2862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WU",
"first_name": "KING YIN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-17",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02838500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.