Individual provider Active NPI

Dona Tsihwa Wu, M.D. / P.H.D.

  • Nephrology Physician
  • East Meadow, NY
National Provider Identifier
1265689301
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
319591 Issued in NY
Practice address
1620 Front St
East Meadow, NY 11554-2349
Phone
(516) 514-0105
Fax
(516) 706-5849
NPI assigned
Aug 20, 2008
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 64099 GA
Nephrology Physician 207RN0300X MD60733508 WA
Nephrology Physician 207RN0300X 319591 NY Primary

Addresses

Primary practice location

1620 Front St
East Meadow, NY 11554-2349

Mailing address

1620 Front St
East Meadow, NY 11554-2349
Phone (516) 514-0105

Other identifiers 1

IdentifierTypeStateIssuer
027276100MedicaidMD

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
I20230330001232 NY Practitioner - Nephrology 7517006836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64099GAMDNephrology Physician
319591NYMDNephrology Physician
MD60733508WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC Nephrology CurrentSince Jun 1, 2023 Accepting new patients
Louis Nkrumah MD PLLC Current Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Prine Health Medical Group, PLLC Past Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

877 Stewart Ave
Ste 16
Garden City, NY 11530
Phone (516) 431-0700

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

524 Old Country Rd
Plainview, NY 11803
Phone (516) 622-1308

Networks

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1265689301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542349",
            "telephone_number": "516-514-0105",
            "fax_number": "516-706-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542349",
            "telephone_number": "516-514-0105",
            "fax_number": "516-706-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "DONA",
        "middle_name": "TSIHWA",
        "name_prefix": "Dr.",
        "credential": "M.D. / P.H.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "64099",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD60733508",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "319591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027276100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.