DR. JUSTIN WU (NPI# 1639715733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639715733 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN WU |
| Credential | PHARM.D |
| Practice Address |
415 Crossways Park Dr Ste B Woodbury NY 11797-2055 |
| Practice Telephone | 5162497436 |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2019-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 065764 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093257453 | Justin Wu | Optometrist | 14355 41st Ave Apt 5c, Flushing, NY 11355-1821 | 2016-11-15 |
| 1275872095 | Justin Wu | Physical Therapist | 431 Trapelo Rd Unit 2, Belmont, MA 02478-1417 | 2013-02-14 |
| 1174824841 | Justin Wu | Internal Medicine | 5451 La Palma Ave Ste 25, La Palma, CA 90623 | 2010-11-10 |
| 1639405053 | Justin Lecian Wu | Dentist | 7019 Catina St, New Orleans, LA 70124-2305 | 2009-10-19 |
| 1912034463 | Justin Chun Wei Wu | Family Medicine | 1885 Bay Rd, East Palo Alto, CA 94303-1312 | 2007-02-28 |
| 1821620089 | Justin Wu | Speech-Language Pathologist | 14850 Central Ave, Chino, CA 91710-9509 | 2020-02-06 |
| 1285051805 | Justin Wu | Dentist | 731 White Plains Rd, Bronx, NY 10473-2631 | 2014-03-20 |
| 1811064769 | Justin S. Wu | Surgery | 4647 Zion Ave, San Diego, CA 92120-2507 | 2006-11-29 |
| 1881648665 | Justin Wu | Radiology | 4420 Lake Boone Trl Ste 102, Raleigh, NC 27607-7505 | 2006-05-19 |
| Street Address |
415 CROSSWAYS PARK DR STE B |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144746090 | Kristin M Cole | Pharmacist | 415 Crossways Park Dr Ste B, Woodbury, NY 11797-2055 | 2017-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1346752862 | Frank L Varanko | Pharmacist | 108 Barnhill Rd, Woodbury, CT 06798-2200 | 2017-10-25 |
| 1144746090 | Kristin M Cole | Pharmacist | 415 Crossways Park Dr Ste B, Woodbury, NY 11797-2055 | 2017-08-22 |
| 1629439211 | Anne Neely | Pharmacist | 509 North Broad Street, Woodbury, NJ 08096 | 2016-03-10 |
| 1891117222 | Ereiny Farag | Pharmacist | 3 East Dr, Woodbury, NY 11797-2102 | 2014-01-21 |
| 1124378765 | Helen Chen | Pharmacist | 225 Crossways Park Dr, Woodbury, NY 11797-2054 | 2012-09-11 |
| 1104195056 | David Walter Fuhs | Pharmacist | 3647 Sunbury Dr, Woodbury, MN 55125-2840 | 2011-12-22 |
| 1073880555 | Yuen Tsai | Pharmacist | 1965 Donagel Drive, Woodbury, MN 55125 | 2011-11-28 |
| 1497031934 | Cameron John Erickson | Pharmacist | 2266 Sycamore Trl, Woodbury, MN 55125-3948 | 2011-10-28 |
| 1528343621 | Stephen W Todd | Pharmacist | 875 Burt Rd, Woodbury, TN 37190-6104 | 2011-10-20 |
| Find all providers in WOODBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.