Individual provider Active NPI

Benjamin Wu

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1275639502
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
217687 Issued in NY
Practice address
730 60TH St FL 1
Brooklyn, NY 11220-4220
Phone
(718) 484-3225
NPI assigned
Sep 15, 2006
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 217687 NY Primary

Addresses

Primary practice location

730 60TH St FL 1
Brooklyn, NY 11220-4220

Mailing address

730 60TH St FL 1
Brooklyn, NY 11220-4220
Phone (718) 484-3225

Other identifiers 1

IdentifierTypeStateIssuer
02136607MedicaidNY

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
I20070321000331 NY Practitioner - Family Practice 1355444894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

730 60TH St
FL 1
Brooklyn, NY 11220-4220
Phone (718) 484-3225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217687NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Wu, M.D. P.C. CurrentSince Mar 1, 2007 Accepting new patients

Locations

823 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 484-3225

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIDAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIDAA/Endpoint/EDIDAA

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, 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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1275639502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 60TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204220",
            "telephone_number": "718-484-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 60TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204220",
            "telephone_number": "718-484-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "217687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02136607",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.