Organization Active NPI

Suet Wu DDS PC

  • Pediatric Dentistry
  • Bayside, NY
National Provider Identifier
1285922385
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
049598 Issued in NY
Legal business name
SUET WU DDS PC
Practice address
3808 Bell Blvd
Ste 7
Bayside, NY 11361-2080
Phone
(718) 281-2808
Fax
(718) 281-2898
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Dr. Suet M. Wu, DDSNPI 1417976465
Title
Owner
Phone
(718) 281-2808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 049598 NY Primary

Addresses

Primary practice location

3808 Bell Blvd
Ste 7
Bayside, NY 11361-2080

Mailing address

3808 Bell Blvd
Ste 7
Bayside, NY 11361-2080
Phone (718) 281-2808

Other identifiers 1

IdentifierTypeStateIssuer
02381322MedicaidNY

National Provider Directory

National Provider Directory

Locations

3808 Bell Blvd
Ste 7
Bayside, NY 11361
Phone (718) 281-2808

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1285922385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 BELL BLVD",
            "address_2": "STE 7",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612080",
            "telephone_number": "718-281-2808",
            "fax_number": "718-281-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 BELL BLVD",
            "address_2": "STE 7",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612080",
            "telephone_number": "718-281-2808",
            "fax_number": "718-281-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUET WU DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "SUET",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-281-2808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "049598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02381322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.