Organization Active NPI

Dr WW Dermatology PLLC

  • Specialist
  • Elmhurst, NY
National Provider Identifier
1477891901
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
215477 Issued in NY
Legal business name
DR WW DERMATOLOGY PLLC
Practice address
8516 Queens Blvd FL 1
Elmhurst, NY 11373-4249
Phone
(718) 457-0002
Fax
(718) 457-0700
NPI assigned
Jan 17, 2013
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Dr. Huachen Wei, M.D.NPI 1235167313
Title
President
Phone
(718) 457-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014078 NY
Physician Assistant 363A00000X 014997 NY
Specialist 174400000X 215477 NY Primary
Specialist 174400000X 218668 NY

Addresses

Primary practice location

8516 Queens Blvd FL 1
Elmhurst, NY 11373-4249

Mailing address

8516 Queens Blvd FL 1
Elmhurst, NY 11373-4249
Phone (718) 457-0002

Other identifiers 3

IdentifierTypeStateIssuer
1235167313OtherNYINDIVIDUAL NPI
1285921320OtherNYINDIVIDUAL NPI
1588752521OtherNYINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140520001853 NY Part B Supplier - Clinic/Group Practice 4587887583 Receives reassigned benefits from 8 practitioners
Practice locations: Brooklyn, NY; Elmhurst, NY; Flushing, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

849 57th St
Ste 6
Brooklyn, NY 11220
Phone (718) 484-8800

8516 Queens Blvd
#1
Elmhurst, NY 11373
Phone (718) 457-0002

13621 Franklin Ave
Ste 3B
Flushing, NY 11355
Phone (718) 445-6000

Practitioners & affiliated clinicians

Practitioners 8

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": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1477891901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 QUEENS BLVD FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734249",
            "telephone_number": "718-457-0002",
            "fax_number": "718-457-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8516 QUEENS BLVD FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734249",
            "telephone_number": "718-457-0002",
            "fax_number": "718-457-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WW DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "WEI",
        "authorized_official_first_name": "HUACHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-457-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014078",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014997",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "215477",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "218668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1235167313",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285921320",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588752521",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.