KENNY WU MD
NPI 1609454834
Student in an Organized Health Care Education/Training Program in Summit, NJ
About Kenny Wu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNY WU MD (NPI 1609454834) is an individual student in an organized health care education/training program in Summit, New Jersey and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenny Wu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kenny Wu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wayne, NJ 07470
- Reassigned Medicare billing, New Jersey enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUMMIT, NJ 07901
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenny Wu's NPI number?
The NPI number for Kenny Wu is 1609454834. It was assigned to this individual provider in the NPPES registry on March 30, 2021.
Where is Kenny Wu located?
Kenny Wu practices at 99 Beauvoir Ave, Summit, NJ 07901. The listed phone number is (908) 522-2000.
What is Kenny Wu's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kenny Wu enrolled in Medicare?
Yes. Kenny Wu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kenny Wu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenny Wu reassigns Medicare benefits to North Haledon Medical, PC (Wayne, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenny Wu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenny Wu was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenny Wu, MD · NPI 1609454834
Student in an Organized Health Care Education/Training Program provider in Summit, New Jersey. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1609454834 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 99 BEAUVOIR AVE, Summit, NJ 07901-3533
- **Phone:** (908) 522-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Haledon Medical, PC (NPI 1477624088, Wayne, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1609454834) · Data from the CMS NPPES public registry.