Active NPI
Jamshad Wyne MD PLLC
- Specialist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 205370
- 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
- Last updated
- Mar 8, 2016
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 205370 | NY | Primary |
Addresses
Primary practice location
2248 Richmond Rd
Staten Island, NY 10306-2542
Mailing address
2248 Richmond Rd
Staten Island, NY 10306-2542
Phone (718) 351-0500
National Provider Directory
National Provider DirectoryLocations
2248 Richmond Rd
Staten Island, NY 10306
Phone (718) 351-0500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Staten Island, NY
- NPI 1396718086
NPI Registry JSON
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": []
}
Other providers in Staten Island, NY
Sources for this page
- 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.