Individual provider Active NPI

Wingtat Mui, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1497837090
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
222729 Issued in NY
Practice address
53 Elizabeth St RM 3B
New York, NY 10013-4617
Phone
(212) 796-2828
Fax
(914) 462-4342
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 222729 NY Primary

Addresses

Primary practice location

53 Elizabeth St RM 3B
New York, NY 10013-4617

Mailing address

110 Overlook Ave
Great Neck, NY 11021-3831
Phone (212) 796-2828

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
I20040320000131 NY Practitioner - Internal Medicine 7012808140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

53 Elizabeth St
RM 3B
New York, NY 10013-4617
Phone (212) 796-2828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222729NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wingtat Mui MD PLLC CurrentSince Feb 12, 2015 Accepting new patients
George Hall, MD, PC Internal Medicine Past Accepting new patients

Locations

53 Elizabeth St
Rm 3B
New York, NY 10013
Phone (212) 796-2828

81 Elizabeth St
Rm 601
New York, NY 10013
Phone (212) 796-2828

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: wingtatmui@3153.mdlanddirect.com

Organizations & group practices 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1497837090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OVERLOOK AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213831",
            "telephone_number": "212-796-2828",
            "fax_number": "914-462-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ELIZABETH ST RM 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134617",
            "telephone_number": "212-796-2828",
            "fax_number": "914-462-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUI",
        "first_name": "WINGTAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.