Active NPI
Sung Wu Sun M.D.P.C
- Internal Medicine Physician
- Mount Vernon, NY
National Provider Identifier
1235363151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 249548
- Legal business name
- SUNG WU SUN M.D.P.C
- Practice address
- 12 N 7TH Ave
Mount Vernon, NY 10550-2026 - Phone
- (914) 664-8000
- NPI assigned
- May 6, 2009
- 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
- Dr. Sung Wu Sung
- Title
- Doctor
- Phone
- (914) 826-1626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 249548 | NY | Primary |
Addresses
Primary practice location
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Mailing address
PO Box 484
Hartsdale, NY 10530-0484
Phone (914) 826-1626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02620744 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241568000000",
"number": "1235363151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 484",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105300484",
"telephone_number": "914-826-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N 7TH AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502026",
"telephone_number": "914-664-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNG WU SUN M.D.P.C",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-06",
"last_updated": "2009-05-06",
"status": "A",
"authorized_official_last_name": "SUNG",
"authorized_official_first_name": "SUNG WU",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "914-826-1626",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "249548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02620744",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.