Individual provider Active NPI

Liza C.G. Wu, MD

  • Plastic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1942234018
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME157381 Issued in FL
Practice address
5295 Town Center Rd
Boca Raton, FL 33486-1080
Phone
(561) 717-3181
Fax
(561) 717-3191
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD429047 PA
Plastic Surgery Physician 208200000X ME157381 FL Primary

Addresses

Primary practice location

5295 Town Center Rd
Boca Raton, FL 33486-1080

Mailing address

2930 NW 26TH Ave
Boca Raton, FL 33434-3664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061002000106 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Dermatology 3779528724 Reassigns benefits to 1 organization
I20220929001863 FL Practitioner - Plastic and Reconstructive Surgery 3779528724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Chicago, Pritzker School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5295 Town Ctr Rd
Suite 402
Boca Raton, FL 33486-1080
Phone (215) 206-9705

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy83
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
LCW PRS Plastic Surgery CurrentSince Sep 7, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Feb 2, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince Feb 2, 2015 Accepting new patients
University of Penn-Medical Group Current Accepting new patients

Locations

5295 Town Center Rd
Ste 402
Boca Raton, FL 33486
Phone (215) 206-9705

3400 Civic Center Blvd
Ste 1-330S
Philadelphia, PA 19104
Phone (215) 360-0909

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Spruce St
#10
Philadelphia, PA 19104
Phone (215) 662-2096

3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1942234018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 NW 26TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 TOWN CENTER RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861080",
            "telephone_number": "561-717-3181",
            "fax_number": "561-717-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "LIZA",
        "middle_name": "C.G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD429047",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME157381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.