KENNY WU MD
NPI 1609454834
Student in an Organized Health Care Education/Training Program in Summit, NJ

Active since March 30, 2021PECOS Enrolled
99 BEAUVOIR AVE, SUMMIT, NJ 07901(908) 522-2000 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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.

NPPES Registry Identity

NPI1609454834
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENNY WUCredential: MD
Location Address99 BEAUVOIR AVESummit, NJ 07901-3533
Mailing Address99 Beauvoir AveSummit, NJ 07901-3533 · (908) 522-2000
Sole ProprietorNo
Enumeration DateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1609454834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
99 BEAUVOIR AVE, Summit, NJ 07901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenny Wu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Family Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Student in an Organized Health Care Education/Training Program
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Nurse Practitioner (Adult Health)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Internal Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Hospitalist
99 BEAUVOIR AVE
SUMMIT, NJ 07901
General Acute Care Hospital
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Dietitian, Registered
99 BEAUVOIR AVE, BOX 243
SUMMIT, NJ 07901
Radiology (Diagnostic Radiology)
99 BEAUVOIR AVE
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 enrollment system.

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.