Individual provider Active NPI

Frank Jay Wu, LAC

  • Acupuncturist
  • Little Neck, NY
National Provider Identifier
1831715879
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006774 Issued in NY
Practice address
5621 Marathon Pkwy Ste 2
Little Neck, NY 11362-2037
Phone
(516) 441-2633
Fax
(718) 691-7010
NPI assigned
Jun 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 006774 NY Primary

Addresses

Primary practice location

5621 Marathon Pkwy Ste 2
Little Neck, NY 11362-2037

Mailing address

PO Box 620789
Little Neck, NY 11362
Phone (516) 469-7478

Other practice location 1

930 N Broadway Ste 102
Massapequa, NY 11758-2394
Phone (516) 218-1982

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

State licenses

LicenseStateTypeSpecialty
006774NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Halcyon Acupuncture of Long Island PLLC Acupuncturist CurrentSince Oct 19, 2020 Accepting new patients

Locations

5621 Marathon Pkwy
Ste 2
Little Neck, NY 11362
Phone (516) 441-2633

Organizations & group practices 1

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1831715879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620789",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "516-469-7478",
            "fax_number": "718-691-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 MARATHON PKWY STE 2",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622037",
            "telephone_number": "516-441-2633",
            "fax_number": "718-691-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 N Broadway Ste 102",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117582394",
            "country_code": "US",
            "telephone_number": "516-218-1982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "FRANK",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.