Active NPI
Ching Ha Jenny Wu
- Local Education Agency (LEA)
- Brooklyn, NY
National Provider Identifier
1770130163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Practice address
- 2336 E 29TH St
Brooklyn, NY 11229-5028 - Phone
- (646) 812-8374
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
2336 E 29TH St
Brooklyn, NY 11229-5028
Mailing address
6811 15TH Ave
Brooklyn, NY 11219-6310
Phone (646) 812-8374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1770130163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6811 15TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112196310",
"telephone_number": "646-812-8374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 E 29TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295028",
"telephone_number": "646-812-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "CHING HA",
"middle_name": "JENNY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.