Individual provider Active NPI

Teresa Yee Wa Wu, L.AC, DIPL O.M.

  • Acupuncturist
  • Woodbury, NY
National Provider Identifier
1356677645
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004109 Issued in NY
Practice address
9 Winthrop Dr
Woodbury, NY 11797-1318
Phone
(516) 606-3856
Fax
(516) 367-7306
NPI assigned
Oct 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 004109 NY Primary

Addresses

Primary practice location

9 Winthrop Dr
Woodbury, NY 11797-1318

Mailing address

9 Winthrop Dr
Woodbury, NY 11797-1318
Phone (516) 606-3856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Graceville Adult Day Care Center Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1356677645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WINTHROP DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971318",
            "telephone_number": "516-606-3856",
            "fax_number": "516-367-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WINTHROP DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971318",
            "telephone_number": "516-606-3856",
            "fax_number": "516-367-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "TERESA",
        "middle_name": "YEE WA",
        "name_prefix": "Mrs.",
        "credential": "L.AC, DIPL O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.