Elisa Jia-Yi Wu, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

210428 Issued in NY

Practice address

4020 Main St
4TH Floor
Flushing, NY 11354-5519

Phone

(347) 532-2888

Fax

(718) 321-8620

NPI assigned

Dec 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: ewu@1634.mdlanddirect.com

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.

• Flushing Radiation Oncology Services, PLLC

  • Specialist
  • Flushing, NY
  • NPI 1710135686
  Medicare reassignment NPD
• Manhattan Radiation Oncology PLLC

  • Radiation Oncology Clinic/Center
  • New York, NY
  • NPI 1013255041
  Medicare reassignment NPD
• Memorial Sloan-Kettering Cancer Center at St Francis Mercy

  • Medical Oncology Physician
  • Rockville Centre, NY
  • NPI 1679544134

  Radiation Oncology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1689942005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ESSEX STREET, GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024634",
            "telephone_number": "347-532-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 MAIN ST",
            "address_2": "4TH FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545519",
            "telephone_number": "347-532-2888",
            "fax_number": "718-321-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "ELISA",
        "middle_name": "JIA-YI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "210428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chau Fu Wu, MD
• Chia-Chen Wu, NP
• Chia-Der Wu, MD
• Cho-Yung Wu, LCSW
• Di Wu
• Guoji Wu
• Hengjia Wu
• Hengqing Anna Wu, DPM
• Henry Wu, DPM
• Huilin Eileen Wu, DDS

• Radiation Oncology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.