Chia Der Wu,MD,PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

152365 Issued in NY

Legal business name

CHIA DER WU,MD,PC

Practice address

13347 Sanford Ave
Suite 2B
Flushing, NY 11355-5800

Phone

(718) 762-2113

Fax

(718) 732-2859

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chia Der Wu, M.D.

Title

President

Phone

(718) 762-2113

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Yuan, OD

  • Optometrist
  • Flushing, NY
  • NPI 1689308124
  Medicare reassignment Care Compare group NPD
• Alexander Chinyung Wu, MD

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1780619692
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1386842854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE",
            "address_2": "SUITE 2B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555800",
            "telephone_number": "718-762-2113",
            "fax_number": "718-732-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE",
            "address_2": "SUITE 2B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555800",
            "telephone_number": "718-762-2113",
            "fax_number": "718-732-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIA DER WU,MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "CHIA DER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-762-2113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "152365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00741277",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guoquan CHI
• Mijung CHI
• Xuejun CHI, LCSW
• Yong CHI, M.D.
• Yuanfen L CHI, LCSW
• Chia-Hung Yuan DDS P.C.
• Jer-Wei Chiang, D.D.S
• Jih-Lih Chiang, MD
• Jamele Chiao
• Marie T. Chiao, MD

• Ophthalmology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.