Active NPI
Winston Wu, M.D
- Internal Medicine Physician
- Flushing, NY
National Provider Identifier
1376824698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 265647
- Practice address
- 13324 Sanford Ave
Suite 1 K
Flushing, NY 11355-3650 - Phone
- (917) 754-5481
- NPI assigned
- Aug 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 265647 | NY | Primary |
Addresses
Primary practice location
13324 Sanford Ave
Suite 1 K
Flushing, NY 11355-3650
Mailing address
13324 Sanford Ave
Suite 1 K
Flushing, NY 11355-3650
Phone (917) 754-5481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03799891 | Medicaid | NY |
Other names 1
- Win Ko Ko Oo
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265647 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1376824698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13324 SANFORD AVE",
"address_2": "SUITE 1 K",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553650",
"telephone_number": "917-754-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13324 SANFORD AVE",
"address_2": "SUITE 1 K",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553650",
"telephone_number": "917-754-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "WINSTON",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-31",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "265647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03799891",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WIN",
"last_name": "OO",
"middle_name": "KO KO",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.