Active NPI
Fan Wu
- Drama Therapist
- Plainview, NY
National Provider Identifier
1932863057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- Practice address
- 25 Devonshire CT
Plainview, NY 11803-3230 - Phone
- (516) 906-1120
- NPI assigned
- Oct 25, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Drama Therapist | 101200000X | Primary |
Addresses
Primary practice location
25 Devonshire CT
Plainview, NY 11803-3230
Mailing address
25 Devonshire CT
Plainview, NY 11803-3230
Phone (516) 906-1120
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": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1932863057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 DEVONSHIRE CT",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118033230",
"telephone_number": "516-906-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DEVONSHIRE CT",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118033230",
"telephone_number": "516-906-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "FAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Drama Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.