Individual provider Active NPI

Sophia S. Wu, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1972567204
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
201365-1 Issued in NY
Practice address
274 Madison Ave Ste 300
New York, NY 10016-0701
Phone
(212) 201-1217
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 201365-1 NY Primary

Addresses

Primary practice location

274 Madison Ave Ste 300
New York, NY 10016-0701

Mailing address

205 E 92ND St Apt 32B
New York, NY 10128-4277
Phone (917) 533-6102

Other practice location 1

170 William St
New York, NY 10038-2612
Phone (212) 312-5883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000510 NY Practitioner - Obstetrics/Gynecology 5890715882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York Downstate Medical Center, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goncharov Medical PCGroup PAC ID 2062739246, 21 clinicians

Practice addresses (Care Compare)

274 Madison Ave
RM 300
New York, NY 10016-0701
Phone (212) 201-1217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036940CTMDLicensed Practical Nurse
201365-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Nov 11, 2019 Accepting new patients
Yelena Rubinshteyn MD PC PastSince Aug 28, 2022 Accepting new patients
Ny Downtown OB GYN Associates Obstetrics & Gynecology Past Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients

Locations

525 E 68th St
#J130
New York, NY 10065
Phone (212) 746-3000

156 William St
New York, NY 10038
Phone (646) 962-4679

170 William St
Fl 5
New York, NY 10038
Phone (212) 312-5666

170 William St
Fl 4
New York, NY 10038
Phone (212) 312-5255

170 William St
New York, NY 10038
Phone (212) 238-0100

Interoperability endpoints

  • Direct secure messaging: sow3001@direct.weillcornell.org

Organizations & group practices 6

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1972567204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 92ND ST APT 32B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284277",
            "telephone_number": "917-533-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE STE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160701",
            "telephone_number": "212-201-1217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 William St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100382612",
            "country_code": "US",
            "telephone_number": "212-312-5883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "SOPHIA",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "201365-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.