NPIMap

Organization Active NPI

Dr Jennifer S Wu PC

  • Obstetrics & Gynecology Physician
  • Melrose, MA
National Provider Identifier
1396729026
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DR JENNIFER S WU PC
Practice address
663 Main St
Melrose, MA 02176-3139
Phone
(781) 665-1985
Fax
(781) 665-0226
NPI assigned
Dec 6, 2005
Last updated
Dec 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Jennifer WuNPI 1568446151
Title
President
Phone
(781) 665-1985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

663 Main St
Melrose, MA 02176-3139

Mailing address

663 Main St
Melrose, MA 02176-3139
Phone (781) 665-1985

Other identifiers 3

IdentifierTypeStateIssuer
130752OtherPILGRIM
9780599MedicaidMA
M16657OtherBLUE CROSS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0975798Dr Jennifer S Wu, PC663 Main Street, Melrose, MA 02176Provider-performed microscopyJul 17, 2028

National Provider Directory

National Provider Directory

Locations

663 Main St
Melrose, MA 02176
Phone (781) 665-1985

Practitioners & affiliated clinicians

Practitioners 12

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1396729026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763139",
            "telephone_number": "781-665-1985",
            "fax_number": "781-665-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763139",
            "telephone_number": "781-665-1985",
            "fax_number": "781-665-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JENNIFER S WU PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-665-1985"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "130752",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9780599",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M16657",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.