Organization Active NPI

Springsea Physician PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1770815946
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
253945 Issued in NY
Legal business name
SPRINGSEA PHYSICIAN PC
Practice address
839 58TH St FL 5
Brooklyn, NY 11220-3609
Phone
(856) 308-8130
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Jianlin Wu, MD
Title
Owner
Phone
(856) 308-8130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 253945 NY Primary

Addresses

Primary practice location

839 58TH St FL 5
Brooklyn, NY 11220-3609

Mailing address

142 Ashbrook Rd
Cherry Hill, NJ 08034-3820

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1770815946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ASHBROOK RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 58TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203609",
            "telephone_number": "856-308-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGSEA PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JIANLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-308-8130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "253945",
            "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 Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.