Individual provider Active NPI

Edward C Wu, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1457412181
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
236691 Issued in NY
Practice address
151 W 26TH St RM 1001
New York, NY 10001
Phone
(347) 688-3398
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 236691 NY Primary

Addresses

Primary practice location

151 W 26TH St RM 1001
New York, NY 10001

Mailing address

77 Hudson St Apt 5
New York, NY 10013-2866
Phone (347) 688-3398

Other practice location 1

1045 39th St
Maimonides Medical Center, MIS Dept
Brooklyn, NY 11219-1017
Phone (718) 283-1395

Other practice location 2

1045 39th St
Maimonides Medical Center, MIS Dept
Brooklyn, NY 11219-1017
Phone (718) 283-1395

Other practice location 3

42 West Street
#225
Brooklyn, NY 11222
Phone (347) 688-3398

Other identifiers 1

IdentifierTypeStateIssuer
02923715MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051213000139 NY Practitioner - Internal Medicine 7719908219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Medical Care, P.C. Internal Medicine Current Accepting new patients
Maimonides Medical Center Maimonides Primary Care FPP Internal Medicine CurrentSince Aug 1, 2007 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

151 W 26th St
Rm 1001
New York, NY 10001
Phone (347) 688-3398

Interoperability endpoints

  • Direct secure messaging: edwardwu@mai.allscriptsdirect.net

Organizations & group practices 4

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1457412181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HUDSON ST APT 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132866",
            "telephone_number": "347-688-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 26TH ST RM 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "347-688-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 39th St",
            "address_2": "Maimonides Medical Center, MIS Dept",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112191017",
            "country_code": "US",
            "telephone_number": "718-283-1395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 39th St",
            "address_2": "Maimonides Medical Center, MIS Dept",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112191017",
            "country_code": "US",
            "telephone_number": "718-283-1395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 West Street",
            "address_2": "#225",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11222",
            "country_code": "US",
            "telephone_number": "347-688-3398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02923715",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.