Individual provider Active NPI

Emily Meiying Wu, P.A.

  • Physician Assistant
  • Elmhurst, NY
National Provider Identifier
1285921320
Registry record updated Feb 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
23 014997 Issued in NY
Practice address
8701 56TH Ave
1 FL
Elmhurst, NY 11373-4831
Phone
(718) 457-0002
Fax
(718) 457-9108
NPI assigned
Jul 8, 2011
Last updated
Feb 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 23 014997 NY Primary

Addresses

Primary practice location

8701 56TH Ave
1 FL
Elmhurst, NY 11373-4831

Mailing address

8701 56TH Ave
1 FL
Elmhurst, NY 11373-4831
Phone (718) 457-0002

Other identifiers 1

IdentifierTypeStateIssuer
1097606OtherNYNCCPA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000237 NY Practitioner - Physician Assistant 0345408969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Dr WW Dermatology PLLCGroup PAC ID 4587887583, 2 clinicians

Practice addresses (Care Compare)

8516 Queens Blvd
Suite 1
Elmhurst, NY 11373-4249
Phone (718) 457-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014997NYMDOccupational Therapist
23 014997NYMDPhysician Assistant

Networks

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

Organizations & group practices 2

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": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360368000000",
    "number": "1285921320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 56TH AVE",
            "address_2": "1 FL",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734831",
            "telephone_number": "718-457-0002",
            "fax_number": "718-457-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 56TH AVE",
            "address_2": "1 FL",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734831",
            "telephone_number": "718-457-0002",
            "fax_number": "718-457-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "EMILY",
        "middle_name": "MEIYING",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2013-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "23 014997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1097606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.