Individual provider Active NPI

Brenda Wu

  • Neurology Physician
  • New Brunswick, NJ
National Provider Identifier
1255406443
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA07672600 Issued in NJ
Practice address
90 Paterson St
Ste 100
New Brunswick, NJ 08901-2109
Phone
(201) 996-3205
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA07672600 NJ Primary

Addresses

Primary practice location

90 Paterson St
Ste 100
New Brunswick, NJ 08901-2109

Mailing address

90 Paterson St
Ste 100
New Brunswick, NJ 08901-2109
Phone (732) 258-0061

Other identifiers 2

IdentifierTypeStateIssuer
P00088826OtherNJRR MCR PTAN
0014729MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040414000988 NJ Practitioner - NeurologyPractitioner - Neuropsychiatry 8527052133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neuropsychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

219 Livingston Ave
Unit a
New Brunswick, NJ 08901-2931
Phone (732) 258-0061

Hospital & facility affiliations

  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson MD Group CurrentSince Jan 9, 2024 Accepting new patients
Epilepsy & Behavior Neurological Services LLC CurrentSince Sep 20, 2016 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

219 Livingston Ave
#A
New Brunswick, NJ 08901

90 Paterson St
#100
New Brunswick, NJ 08901
Phone (201) 996-3205

219 Livingston Ave
Unit A
New Brunswick, NJ 08901
Phone (732) 258-0061

10 Forrestal Rd S
Ste 208
Princeton, NJ 08540
Phone (609) 921-2449

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1255406443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PATERSON ST",
            "address_2": "STE 100",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012109",
            "telephone_number": "732-258-0061",
            "fax_number": "732-993-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PATERSON ST",
            "address_2": "STE 100",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012109",
            "telephone_number": "201-996-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA07672600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PTAN",
            "identifier": "P00088826",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014729",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.