Jamshad Wyne MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

205370 Issued in NY

Legal business name

JAMSHAD WYNE MD PLLC

Practice address

2248 Richmond Rd
Staten Island, NY 10306-2542

Phone

(718) 351-0500

Fax

(718) 351-0800

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Jamshad Wyne, MD

Title

Owner/MD

Phone

(718) 351-0500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1194186916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062542",
            "telephone_number": "718-351-0500",
            "fax_number": "718-351-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062542",
            "telephone_number": "718-351-0500",
            "fax_number": "718-351-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMSHAD WYNE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "WYNE",
        "authorized_official_first_name": "JAMSHAD",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "718-351-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "205370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pushpom Z James, MD
• William James, ASSOCIATES / BM
• Vothvinick Jamilla, OTR/L
• Mansour Jammal, M.D.
• Cindy Diane Jamrog, M.S. ED
• Christine Jan, PHARMD
• Janet Carney DPM,PC
• Janet Shen MD PC
• Janis R. D'Angelo, Podiatrist, P.C.
• Maryann Jannace, RN

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.