Active NPI
Chung H Wu, DO
- Emergency Medicine Physician
- Goshen, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 236147
- Practice address
- 4 Harriman Dr
Goshen, NY 10924-2410 - Phone
- (845) 294-5441
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 236147 | NY | Primary |
Addresses
Primary practice location
4 Harriman Dr
Goshen, NY 10924-2410
Mailing address
484 Temple Hill Rd
Ste 102
New Windsor, NY 12553-5557
Phone (845) 565-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02713000 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236147 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Emergency Medicine | Current | Accepting new patients |
Locations
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
300 Community Dr
Plandome, NY 11030
391 N Country Rd
Smithtown, NY 11787
Phone (631) 361-2020
900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
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": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386867604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 TEMPLE HILL RD",
"address_2": "STE 102",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125535557",
"telephone_number": "845-565-3700",
"fax_number": "845-565-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HARRIMAN DR",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109242410",
"telephone_number": "845-294-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "CHUNG",
"middle_name": "H",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "236147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02713000",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.