Organization Active NPI

Advantage Medicine, PLLC

  • Hematology (Pathology) Physician
  • Flushing, NY
National Provider Identifier
1811228570
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X
License
2276321 Issued in NY
Legal business name
ADVANTAGE MEDICINE, PLLC
Practice address
136-20 38TH Avenue
Unit 5F-102
Flushing, NY 11354
Phone
(718) 939-1500
Fax
(718) 939-6200
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Ding Wen Wu, M.D., PHD.
Title
Owner
Phone
(718) 939-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZH0000X 2276321 NY Primary

Addresses

Primary practice location

136-20 38TH Avenue
Unit 5F-102
Flushing, NY 11354

Mailing address

136-20 38TH Avenue
Unit 5F-102
Flushing, NY 11354
Phone (718) 939-1500

National Provider Directory

National Provider Directory

Locations

13620 38th Ave
Unit 5F102
Flushing, NY 11354
Phone (718) 939-1500

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1811228570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-20 38TH AVENUE",
            "address_2": "UNIT 5F-102",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-939-1500",
            "fax_number": "718-939-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-20 38TH AVENUE",
            "address_2": "UNIT 5F-102",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-939-1500",
            "fax_number": "718-939-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "DING WEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-939-1500",
        "authorized_official_credential": "M.D., PHD."
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Hematology",
            "state": "NY",
            "license": "2276321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.