Active NPI
Ssu Isabel Weng, MD
- Specialist
- Santa Fe, NM
National Provider Identifier
1265696462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 78-286
- Practice address
- 905 Trail Cross CT
Santa Fe, NM 87505-4511 - Phone
- (505) 983-3168
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 78-286 | NM | Primary |
Addresses
Primary practice location
905 Trail Cross CT
Santa Fe, NM 87505-4511
Mailing address
905 Trail Cross CT
Santa Fe, NM 87505-4511
Phone (505) 983-3168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78-286 | Other | NM | NEW MEXICO BOARD OF MEDICAL EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78-286 | NM | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1265696462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 TRAIL CROSS CT",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054511",
"telephone_number": "505-983-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 TRAIL CROSS CT",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054511",
"telephone_number": "505-983-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENG",
"first_name": "SSU",
"middle_name": "ISABEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "78-286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO BOARD OF MEDICAL EXAMINERS",
"identifier": "78-286",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.